The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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2018 KHRS Expert Consensus Recommendation for Oral Anticoagulants Choice and Appropriate Doses: Specific Situation and High Risk Patients

2018 대한부정맥학회 심방세동 환자에서 항응고제의 적합한 선택 및 용량 권고안: 특수 상황과 고위험군 환자

  • Lee, Ki Hong (Department of Cardiology, Chonnam National University Hospital) ;
  • Joung, Boyoung (Division of Cardiology, Department of Internal Medicine, Severance Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Lee, So-Ryoung (Department of Cardiology, Soon Chun Hyang University Hospital) ;
  • Hwang, You Mi (Department of Cardiology, St.Vincent Hospital, Catholic University) ;
  • Park, Junbeom (Department of Cardiology, Ewha Womans University Medical Center) ;
  • Baek, Yong Soo (Department of Cardiology, Inha University Hospital) ;
  • Park, Yae Min (Department of Cardiology, Gachon Uniersity Gil Medical Center) ;
  • Park, Jin-Kyu (Department of Cardiology, Hanyang University Seoul Hospital) ;
  • Park, Hwan Cheol (Department of Cardiology, Hanyang University Guri Hospital) ;
  • Park, Hyung Wook (Department of Cardiology, Chonnam National University Hospital) ;
  • Lee, Young Soo (Department of Cardiology, Daegu Catholic University College of Medicine) ;
  • Choi, Kee Joon (Department of Cardiology, Asan Medical Center, Ulsan University)
  • 이기홍 (전남대학교병원 순환기내과) ;
  • 정보영 (연세대학교 세브란스병원 순환기내과) ;
  • 이소령 (순천향대학교병원 순환기내과) ;
  • 황유미 (가톨릭대학교 성빈센트병원 순환기내과) ;
  • 박준범 (이화여자대학교병원 순환기내과) ;
  • 백용수 (인하대학교병원 순환기내과) ;
  • 박예민 (가천대학교 길병원 순환기내과) ;
  • 박진규 (한양대학교 서울병원 순환기내과) ;
  • 박환철 (한양대학교 구리병원 순환기내과) ;
  • 박형욱 (전남대학교병원 순환기내과) ;
  • 이영수 (대구가톨릭대학교 의과대학 순환기내과) ;
  • 최기준 (울산대학교 아산병원 순환기내과)
  • Published : 2018.04.01
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Abstract

Oral anticoagulants (OAC) are necessary to prevent thromboembolism in patients with atrial fibrillation (AF). OACs used in Korea are composed of warfarin and non-vitamin K antagonist OAC. Risk stratification and selection of OACs in patients with AF is usually performed by international guidelines for AF management. However, these guidelines do not always reflect the unique characteristics of AF patients in Korea as they were established based on a small portion of the Asian population and, therefore, have limited application to Korean patients. In addition, under certain conditions, the choice of OACs and doses according to the international guidelines are unsuitable for Korean AF patients. Recently, robust clinical data of Korean AF patients have become available. The Korean AF Management Guideline Committee, as part of the Korean Heart Rhythm Society, analyzed all available studies regarding management of AF including those focusing on Korean patients. Expert consensus and guidelines for optimal management of AF patients in Korea were established following systematic reviews and intensive discussions. This article provides the appropriate choice of OACs and dose for management of Korean AF patients with various clinical conditions.

Keywords

References

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