Статья
Тактика ведения пациентов с фибрилляцией предсердий и малыми кровотечениями в условиях терапии прямыми пероральными антикоагулянтами
Рекомендованной тактикой профилактики тромбоэмболических осложнений при фибрилляции предсердий (ФП) является использование пероральных антикоагулянтов (ПОАК). Препаратами выбора для предотвращения инсульта у подавляющего большинства пациентов с ФП, за исключением некоторых клапанных пороков, служат прямые пероральные антикоагулянты (ППОАК). Вне зависимости от класса препарата все антикоагулянты, даже при использовании правильной дозы, увеличивают риск развития кровотечений. Однако наличие малых кровотечений не служит абсолютным показанием к отмене ППОАК. В обзоре представлена тактика ведения пациентов при малых кровотечениях на фоне приема ППОАК.
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