作者: Satoshi Ogawa , Yukihiro Koretsune , Masahiro Yasaka , Yoshifusa Aizawa , Hirotsugu Atarashi
关键词: Dabigatran 、 Intensive care medicine 、 Antithrombotic 、 Direct thrombin inhibitor 、 Stroke 、 Warfarin 、 Atrial fibrillation 、 Fibrinolytic agent 、 Anticoagulant 、 Medicine
摘要: Atrial fibrillation (AF) is the most common cardiac rhythm disorder and a major risk factor for stroke. For more than 60 years, warfarin has been only approved anticoagulant prevention of stroke in patients with AF. Although highly effective, it many limitations that make its use difficult. Therefore, several novel anticoagulants are under development to overcome warfarin, some these have entered phase III clinical trials. Dabigatran an oral, reversible direct thrombin inhibitor Europe other countries venous thromboembolism after elective knee hip replacement surgery. It also United States Japan systemic embolism nonvalvular In this review, mechanism action pharmacological properties new described detail, correct dabigatran practice discussed.