Wiener Medizinische Wochenschrift

, Volume 168, Issue 5–6, pp 121–132 | Cite as

Orale Antikoagulation mit Vitamin K-Antagonisten – ein Update

übersicht
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Zusammenfassung

Vitamin K-Antagonisten (VKA) werden zur Prophylaxe und Therapie thrombotischer bzw. thromboembolischer Ereignisse eingesetzt; die wichtigsten Indikationen sind die Antikoagulation bei tiefer Venenthrombose und Lungenembolie, die Antikoagulation bei Patienten mit Vorhofflimmern sowie die Antikoagulation bei Patienten mit mechanischem Herzklappenersatz und somit gelebter Alltag vor dem Hintergrund potentieller kardio-neurologischer Ereignisse. Mit der vorliegenden Arbeit soll ein Überblick über die Antikoagulation mit VKA gegeben werden; hierbei wird auf Wirkungsmechanismen, Indikationen und Effektivität, Durchführung der Antikoagulation, Nebenwirkungen und Monitoring der Behandlung eingegangen.

Schlüsselwörter

Vit. K Antagonisten Übersicht Selbst-Management Indikationen Alternativen 

Oral anticoagulation using coumarins – an update

Summary

Vitamin K antagonists (VKA) are used for the prophylaxis and treatment of thrombotic and thromboembolic events. Most important indications are venous thrombosis and pulmonary embolism, atrial fibrillation, and mechanical heart-valve replacement. Hence they are from high relevance for the neurologist and his daily praxis in cardio-neurological routine. Here, we give an overview about VKA with focus on mode of action, indications and efficacy, practical aspects of treatment, side effects, and monitoring.

Keywords

Coumarins Review Self-management Indications Alternatives 

Notes

Interessenkonflikt

C. Sucker und J. Litmathe geben an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer-Verlag Wien 2017

Authors and Affiliations

  1. 1.Gerinnungszentrum Berlin Dr. SuckerBerlinDeutschland
  2. 2.Klinik für NeurologieRWTH Aachen UniversityAachenDeutschland

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