ISSN 1671-5411 CN 11-5329/R
Juan WANG, Da-Peng ZHANG, Hong–Bin LIU, Jiu–Chang ZHONG, Xin–Chun YANG. Should atrial fibrillation patients with hypertension as an additional risk factor of the CHA2DS2-VASc score receive oral anticoagulation?. J Geriatr Cardiol 2018; 15(3): 229-234. doi: 10.11909/j.issn.1671-5411.2018.03.005
Citation: Juan WANG, Da-Peng ZHANG, Hong–Bin LIU, Jiu–Chang ZHONG, Xin–Chun YANG. Should atrial fibrillation patients with hypertension as an additional risk factor of the CHA2DS2-VASc score receive oral anticoagulation?. J Geriatr Cardiol 2018; 15(3): 229-234. doi: 10.11909/j.issn.1671-5411.2018.03.005

Should atrial fibrillation patients with hypertension as an additional risk factor of the CHA2DS2-VASc score receive oral anticoagulation?

doi: 10.11909/j.issn.1671-5411.2018.03.005
  • Received Date: 2017-09-22
  • Rev Recd Date: 2017-09-22
  • Publish Date: 2018-03-28
  • Hypertension has been found to be increased a risk of stroke in atrial fibrillation (AF). Both the European and U.S. guidelines ad-vocate the use of the CHA2DS2-VASc (congestive heart failure, hypertension, age > 75 years, diabetes mellitus, stroke/transient is-chemic attack, vascular disease, age 65–74 years, sex category) scheme for risk stratification. Although vitamin K antagonists is more effective than acetylsalicylic acid at preventing ischaemic stroke, its benefit is offs by an increased haemorrhage risk. The risk of is-chemic stroke in patients with AF and a CHA2DS2-VASc score of 1 are considered to be low risk and may be not expected to benefit from anticoagulation therapy. Hypertension carries an increased risk of ischemic stroke, however, it is also a clear risk factor for hem-orrhage in AF. Therefore, the optimal antithrombotic management is highlighted in patients with AF with only one risk factor espe-cially hypertension.
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