Продолжительность двухкомпонентной антиагрегантной терапии у больных ишемической болезнью сердца после имплантации эндоваскулярного стента

Оптимальные сроки проведения длительной двухкомпонентной антитромбоцитарной терапии (ДАТ) после имплантации коронарного стента с лекарственным покрытием остаются неясными, так как у отдельных больных после завершения рекомендуемого курса ДАТ сохраняется риск развития тромботических осложнений, опасность тромбоза стента. В то же время существует реальная угроза кровотечений на фоне ДАТ. В обзорной работе представлены результаты клинических исследований по проблеме длительности ДАТ и данные мета-анализов. Рассмотрены вопросы продолжительности ДАТ в рекомендациях Американской ассоциации сердца и Американской коллегии кардиологов (AHA/ACC) 2016 года.

ишемическая болезнь сердца, антитромбоцитарная терапия, тромбоз, кровотечения, имплантация стента, длительность двухкомпонентной антитромбоцитарной терапии, ischemic heart disease, dual antiplatelet therapy (DAPT), DAPT duration, thrombosis, bleeding, stent implantation

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