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Кардиология

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Фармакоинвазивный подход к лечению острого инфаркта миокарда с подъемом сегмента ST

https://doi.org/10.18087/cardio.2020.1.n699

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Аннотация

В статье представлены основные данные о фармакоинвазивном подходе при остром инфаркте миокарда с подъемом сегмента ST. Современные рекомендации отдают предпочтение первичному чрескожному коронарному вмешательству, однако как в Российской Федерации, так и за рубежом есть ряд особенностей (логистические проблемы, особенности оснащения медицинских учреждений), которые нередко препятствуют возможности своевременного выполнения эндоваскулярного лечения. В таких случаях тромболитическая терапия, впоследствии дополненная чрескожным коронарным вмешательством, может оказаться наиболее эффективной стратегией, цель которой – максимально раннее восстановление коронарной перфузии. В статье рассмотрены результаты основных исследований такого подхода, а также данные о применении тромболитической терапии отечественным препаратом третьего поколения рекомбинантная проурокиназа.

Об авторах

С. Г. Миленькина
ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России
Россия

Миленькина Софья Григорьевна

Москва




А. А. Белогуров
ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России
Россия
Москва


Е. П. Дельвер
ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России
Россия
Москва


И. И. Староверов
ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России
Россия
Москва


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Для цитирования:


Миленькина С.Г., Белогуров А.А., Дельвер Е.П., Староверов И.И. Фармакоинвазивный подход к лечению острого инфаркта миокарда с подъемом сегмента ST. Кардиология. 2020;60(1):62-69. https://doi.org/10.18087/cardio.2020.1.n699

For citation:


Milenkina S.G., Belogurov A.A., Delver E.P., Staroverov I.I. Pharmacoinvasive Approach to the Treatment of Acute ST‐Segment Elevation Myocardial Infarction. Current State of the Problem. Kardiologiia. 2020;60(1):62-69. (In Russ.) https://doi.org/10.18087/cardio.2020.1.n699

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ISSN 0022-9040 (Print)
ISSN 2412-5660 (Online)