dc.creatorMontagna M,Rodrigo
dc.creatorAsenjo G,Rene
dc.creatorMorris C,Raimundo
dc.creatorOrtiz O,Mario
dc.creatorCereceda B,Mauricio
dc.date2007-08-01
dc.date.accessioned2017-03-07T15:54:43Z
dc.date.available2017-03-07T15:54:43Z
dc.identifierhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000800014
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/392840
dc.descriptionAtrial fibrillation is the most common sustained arrhythmia in clinical practice and is associated to thromboembolic complications. Anticoagulation with vitamin K antagonists is clearly useful to reduce the incidence of emboli, but associated with important limitations. Therefore, there is an active search for medications that are more effective and simpler to prescribe and manage. Synthetic pentasaccharides of heparin such as idraparinux for parenteral use, showed promising results. Direct inhibitors of thrombin were also useful for the prevention of thromboembolism. However, they were withdrawn from the market due to potentially fatal adverse reactions. Other area of investigation has been the effectiveness of the combination of antiplatelet agents such as aspirin and clopidrogel. Although this combination is attractive, results of clinical trials must be awaited to have an opinion about its real usefulness. Finally, ¡eft atrial appendage transcatheter occlusion (PLAATO) is an effective and reasonably safe method for patients with contraindications for anticoagulation or those that continue to embolize despite well prescribed anticoagulation. The long term results of this intervention must also be awaited (Rev Méd Chile 2007; 135: 1048-55)
dc.formattext/html
dc.languagees
dc.publisherSociedad Médica de Santiago
dc.sourceRevista médica de Chile v.135 n.8 2007
dc.subjectAnticoagulants
dc.subjectAtrial fibrillation
dc.subjectThromboembolism
dc.titleAvances en la prevención de eventos tromboembólicos en pacientes con fibrilación auricular
dc.typeArtículos de revistas


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