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Кардиология

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Современные представления о сложной связи между фибрилляцией предсердий и ишемической болезнью сердца и об оптимальной тактике антикоагулянтной терапии для профилактики эмболий в сосуды большого круга кровообращения

https://doi.org/ 10.18087/cardio.2399

Аннотация

В статье обсуждается проблема поиска оптимальной тактики пероральных антикоагулянтов для профилактики развития тромбозов и эмболий, обусловленных заболеванием сердца, как у больных с фибрилляцией предсердий, так и синусовым ритмом. Рассматриваются сложная двунаправленная связь между фибрилляцией предсердий и развитием атеросклероза коронарных артерий, а также возможные механизмы развития ИМ у больных с фибрилляцией предсердий. Приводятся доказательные данные, которые могут использоваться при решении вопроса о выборе антикоагулянта с целью профилактики развития тромбозов и эмболий, обусловленных заболеванием сердца с учетом как эффективности, так и безопасности, установленной в ходе выполнения рандомизированных клинических исследований.

Об авторах

С. Р. Гиляревский
ГБОУ ДПО «РМАПО» МЗ РФ; НИИ «Скорой помощи» им. Н. В. Склифосовского
Россия


М. В. Голшмид
ГБОУ ДПО «РМАПО» МЗ РФ
Россия


И. М. Кузьмина
НИИ «Скорой помощи» им. Н. В. Склифосовского
Россия


И. И. Синицина
ГБОУ ДПО «РМАПО» МЗ РФ
Россия


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Рецензия

Для цитирования:


Гиляревский С.Р., Голшмид М.В., Кузьмина И.М., Синицина И.И. Современные представления о сложной связи между фибрилляцией предсердий и ишемической болезнью сердца и об оптимальной тактике антикоагулянтной терапии для профилактики эмболий в сосуды большого круга кровообращения. Кардиология. 2017;57(1S):312-322. https://doi.org/ 10.18087/cardio.2399

For citation:


Gilyarevsky S.R., Golshmid M.V., Kuzmina I.M., Sinitsina I.I. Current ideas of a complex relationship between atrial fibrillation and ischemic heart disease and of optimum tactics for anticoagulant therapy to prevent embolism in systemic circulation. Kardiologiia. 2017;57(1S):312-322. (In Russ.) https://doi.org/ 10.18087/cardio.2399

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