血栓栓塞是心房颤动(房颤)的一个非常重要的并发症,也是房颤致残的一个重要原因。关于房颤血栓栓塞的预防,ACC/AHA/ESC房颤指南从危险分层,治疗策略和建议,抗血小板治疗和抗凝治疗,房颤复律的抗凝治疗几方面进行了阐述。本文对其中的关键点给予简要的解读。流行病学资料显示,非 Thromboembolism is a very important complication of atrial fibrillation (AF) and an important cause of AF disability. Regarding the prevention of atrial fibrillation thromboembolism, the guidelines for the treatment of atrial fibrillation with ACC / AHA / ESC are described in terms of risk stratification, treatment strategies and recommendations, antiplatelet therapy and anticoagulant therapy, and anticoagulant therapy of atrial fibrillation. This article gives a brief explanation of the key points. Epidemiological data show that non