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Atriumfibrilleren

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Bijblijven

Samenvatting

Atriumfibrilleren is een frequent voorkomende ritmestoornis. Ook zonder aanwezigheid van klachten is het belangrijk atriumfibrilleren te herkennen, omdat het tot ernstige complicaties kan leiden, in het bijzonder een ischemisch CVA. Screening in de huisartsenpraktijk van hoogrisicopatiënten zou daarom weleens nuttig kunnen zijn. Om het risico op een ischemisch CVA te bepalen, is er een nieuwe risicoscore ontwikkeld (CHA2DS2-VASc).

Bij vrijwel alle oudere patiënten (> 65jaar) zijn nu orale anticoagulantia geïndiceerd. Acetylsalicylzuur is alleen nog geïndiceerd bij een contra-indicatie voor orale anticoagulantia. De nieuwe orale anticoagulantia vormen een belangrijke ontwikkeling in de antitrombotische behandeling bij atriumfibrilleren, maar hebben vooralsnog een zeer beperkte plaats in de huisartsenpraktijk.

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Authors and Affiliations

  1. postdoc AMC, Amsterdam, The Netherlands

    W. Lucassen

  2. NHG, Utrecht, The Netherlands

    W. Opstelten

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huisarts te Zwaag, postdoc AMC, Amsterdam

huisarts te Amersfoort, senior wetenschappelijk medewerker NHG, Utrecht

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Lucassen, W., Opstelten, W. Atriumfibrilleren. Bijblijven 29, 56–68 (2013). https://doi.org/10.1007/s12414-013-0080-4

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