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Journal of Chinese Pharmaceutical Sciences ›› 2025, Vol. 34 ›› Issue (10): 967-972.DOI: 10.5246/jcps.2025.10.072

• Original articles • Previous Articles    

A case analysis of perioperative anticoagulation therapy in an elderly patient with atrial fibrillation with grade III atrioventricular block undergoing pacemaker implantation

Zhenzhen Yang, Qian Sun, Ye Yuan, Zhiqing Zhang*()   

  1. Department of Pharmacy, The second hospital of Hebei Medical University, Shijiazhuang 050017, Hebei, China
  • Received:2025-05-07 Revised:2025-06-18 Accepted:2025-06-30 Online:2025-11-03 Published:2025-11-03
  • Contact: Zhiqing Zhang
  • Supported by:
    Health Commission of Hebei Province (Grant No. 20230529).

Abstract:

In the present study, we analyzed the perioperative anticoagulation treatment process for an elderly patient with atrial fibrillation (AF) who underwent pacemaker implantation to identify the optimal anticoagulation strategy. The goal was to emphasize the importance of individualized anticoagulation regimens during the perioperative period for elderly patients, particularly in cases where multiple bleeding risk factors, such as low body weight and renal insufficiency, are present. Additionally, we aimed to provide recommendations for the rational use of medications in clinical practice.

Key words: Advanced age, Perioperative period, Anticoagulant therapy

Supporting: