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Der Klinikarzt 2014; 43(S 01): 48-52
DOI: 10.1055/s-0034-1377056
Schwerpunkt
© Georg Thieme Verlag Stuttgart · New York

Vorhofflimmerablation und Antikoagulation – Welches Patientenkollektiv kann profitieren?

Atrial fibrillation and anticoagulation – Which patients might benefit most?
Bernd-Dieter Gonska
1   St. Vincentius-Kliniken Karlsruhe, Medizinische Klinik III, Kardiologie, Intensivmedizin, Angiologie, Akademisches Lehrkrankenhaus der Universität Freiburg
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Publication History

Publication Date:
07 May 2014 (online)

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Zusammenfassung

Die Antikoagulation bei Vorhofflimmern richtet sich nach dem CHA2DS2-VASc-Score. Nach einer Katheterablation ist die Antikoagulation abhängig von dem vorbestehenden CHA2DS2-VASc-Score. Für die orale Antikoagulation stehen ausschließlich die Coumadine und die Direkten Oralen Antikoagulantien zur Verfügung. Die Ablation ist mit einer hohen Erfolgsrate bei symptomatischen Patienten mit paroxysmalem Vorhofflimmern durchführbar.

Summary

Anticoagulation after catheter ablation of atrial fibrillation is depending on the preexisting CHA2DS2-VASc-Score. Only Coumadines and DOACs (Direct Oral Anticoagulants) should be administered in patients with atrial fibrillation. Due to the guidelines catheter ablation is prooving to be effective in symptomatic patients with paroxysmal atrial fibrillation.

Key words

Catheter ablation - anticoagulation - Coumadin - DOAK
 

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