[New onset atrial fibrillation in patients hospitalized with sepsis : is there an indication for anticoagulation ?]

Autor: Dominati A; Service de médecine interne général, HUG, 1211 Genève 14., Serratrice J; Service de médecine interne général, HUG, 1211 Genève 14., Namdar M; Service de cardiologie, HUG, 1211 Genève 14.
Jazyk: francouzština
Zdroj: Revue medicale suisse [Rev Med Suisse] 2020 Oct 21; Vol. 16 (711), pp. 1988-1994.
Abstrakt: Atrial fibrillation (AF) is the most common cardiac arrhythmia in the general population and in patients with sepsis hospitalized in intensive care. The indication for long-term anticoagulation is based on expert recommendations that take into account data from the general population and thus recommend therapeutic anticoagulation for AF longer than 48 hours. However, a majority of new onset AF in intensive care seem to last less than 48 hours and additional risk factors such as the type of sepsis, the drugs administered as well as the presence of a central venous catheters, are involved. Moreover, the increased of minor and major hemorrhage renders it difficult to apply the usual recommendations. In this literature review, we will focus on the various risk factors, prognosis, and indication of long-term anticoagulation in the new onset AF in this population.
Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.
Databáze: MEDLINE