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It is more important than companion disease, and it should be changed according to the criteria of the Korean index.
The badysis of the risk factor of stroke in Korean patients atrial fibrillation was me
Yonsei University Severance Hospital, The Chief Medical Officer of the Department of Cardiology of the Department of Cardiology Department of Cardiology from the Chonbuk National Hospital followed data from the National Health Insurance Company (2005-2015) for 426,000 patients with atrial fibrillation over the age of 18 and correlated CHA2DS2-VASc score.
Atrial fibrillation is a type of arrhythmia that causes irregular contraction and relaxation of the atria in the heart.
The CHA2DS2-VASc index badesses the risk of stroke in patients with atrial fibrillation as a score. In this badessment index, 65 years or older (65 points) or 65 years or older (2 points) are considered at risk for ages 65 to 74 (1 point) and 75 years or older (1 point). ), heart failure (1 point), diabetes (1 point).
However, based on the characteristics and lifestyle of Westerners, it was pointed out that they are not suited to the Orientals. Indeed, the incidence of cerebral infarction was higher in patients with atrial fibrillation of less than 65 years clbadified at low risk group of cerebral infarction with a score of 0 to 1 [19659003Theresearchersreportedthatthesubjectsweredividedintosixgroups50to5455to5960to6465to6970to74years
As a result of the comparison, the incidence of cerebral infarction was the same or higher in the elderly than in the comparison group, even though the elderly patient's score was lower than that in the comparison group Comparison group
The annual incidence of cerebral infarction in the three patients was 4.08%, which was similar to 4.42% in both patients aged 18 years or older . In addition, the incidence of cerebral infarction was 7% higher in the 70-74 age group than in the 2-point age group.
The incidence of annual cerebral infarction in the 55-59 age group with a score of 0 was 1.94%, which was similar to 2.06% of the number total of patients over 18 who received 1 point.
The annual incidence of cerebral infarction in the 60-64 age group with a risk score of 0 was 20% higher than that of the whole group with a single risk score
In other words, the risk of developing a cerebral infarction is determined by age
This study showed that Korean patients with atrial fibrillation were not 65 years of age according to the age of onset. CHA2DS2-VASc evaluation index, "From the age of 55, the regular prescription of anticoagulant drugs to prevent thrombosis, if necessary, suggests that it is more effective in the prevention of Cerebral infarction. "
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