ПРОБЛЕМЫ ВЫБОРА АНТИТРОМБОТИЧЕСКОЙ ТЕРАПИИ У БОЛЬНЫХ  С НЕКЛАПАННОЙ ФИБРИЛЛЯЦИЕЙ ПРЕДСЕРДИЙ И КОМОРБИДНОЙ ПАТОЛОГИЕЙ

Н. А. Козиолова; Е. А. Полянская

Статья

ПРОБЛЕМЫ ВЫБОРА АНТИТРОМБОТИЧЕСКОЙ ТЕРАПИИ У БОЛЬНЫХ С НЕКЛАПАННОЙ ФИБРИЛЛЯЦИЕЙ ПРЕДСЕРДИЙ И КОМОРБИДНОЙ ПАТОЛОГИЕЙ

Н. А. Козиолова, Е. А. Полянская

2015

https://doi.org/10.15829/1728-8800-2015-4-75-85

Как показывает клиническая практика, врач часто сталкивается с проблемой непереносимости любых пероральных антикоагулянтов, как антагонистов витамина К, так и новых пероральных антикоагулянтов, или отказа пациентов от их применения. Поэтому перед врачом встает вопрос выбора антитромботической терапии у больных с фибрилляцией предсердий (ФП), и, прежде всего, на фоне ишемической болезни сердца, сахарного диабета, перенесенного ишемического инсульта. В литературе остро обсуждается проблема целесообразности назначения таким больным аспирина в виде монотерапии с целью профилактики инсульта и инфаркта миокарда. В статье представлен клинический пример больной с неклапанной ФП, перенесшей ишеми- ческий инсульт, острый коронарный синдром на фоне множественной коморбидной патологии, показаны ошибки в тактике ведения больной в выборе антитромботической терапии и даны варианты решения проблемы вторичной профилактики тромбоэмболических осложнений, повторных ишемических событий с научно-обоснованной аргументацией в соответствии с Международными и Российскими рекомендациями.

Козиолова Н. А., Полянская Е. А. ПРОБЛЕМЫ ВЫБОРА АНТИТРОМБОТИЧЕСКОЙ ТЕРАПИИ У БОЛЬНЫХ С НЕКЛАПАННОЙ ФИБРИЛЛЯЦИЕЙ ПРЕДСЕРДИЙ И КОМОРБИДНОЙ ПАТОЛОГИЕЙ. Кардиоваскулярная терапия и профилактика. 2015;14(4):75-85. https://doi.org/10.15829/1728-8800-2015-4-75-85

Цитирование

Список литературы

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Автор

Н. А. Козиолова ГБОУ ВПО "Пермский государственный медицинский университет имени академика Е. А. Вагнера" Минздрава России. Пермь, Россия
Е. А. Полянская ГБОУ ВПО "Пермский государственный медицинский университет имени академика Е. А. Вагнера" Минздрава России. Пермь, Россия

Название журнала

Кардиоваскулярная терапия и профилактика

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Статья