Статья
Статины у пациента с ишемическим инсультом: как рано начинать терапию?
Несмотря на важность гиполипидемической терапии для вторичной профилактики острого нарушения мозгового кровообращения по ишемическому типу, сроки начала терапии статинами у пациентов с ишемическим инсультом или рестарта ранее принимавшейся терапии строго не определены. В то же время продолжают накапливаться данные о наличии иных (помимо гиполипидемического механизма клинической эффективности) «плейотропных» механизмов действия статинов, в том числе при ишемии, определяя необходимость внедрения их в реальную клиническую практику. В настоящем обзоре обсуждаются данные об эффективности тактики раннего назначения статинов при ишемическом инсульте у различных групп пациентов и определяется непосредственно время назначения статинов после появления острой неврологической симптоматики, формируется оригинальная позиция авторов по данному вопросу.
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