Продолжительность двухкомпонентной антиагрегантной терапии у больных ишемической болезнью сердца после имплантации эндоваскулярного стента
Аннотация
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.
Об авторах
А. Б. Сумароков
ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава РФ
Россия
Россия
Л. И. Бурячковская
ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава РФ
Россия
Россия
Н. В. Ломакин
ФГБУ «Центральная клиническая больница с поликлиникой» УД Президента РФ
Россия
Россия
Ю. В. Доценко
ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава РФ
Россия
Россия
И. А. Учитель
ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава РФ
Россия
Россия
Л. А. Тимофеева
ФГБУ «Центральная клиническая больница с поликлиникой» УД Президента РФ
Россия
Россия
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Рецензия
Для цитирования:
Сумароков А.Б., Бурячковская Л.И., Ломакин Н.В., Доценко Ю.В., Учитель И.А., Тимофеева Л.А. Продолжительность двухкомпонентной антиагрегантной терапии у больных ишемической болезнью сердца после имплантации эндоваскулярного стента. Кардиология. 2018;58(1):41-52. https://doi.org/10.18087/cardio.2018.1.10081
For citation:
Sumarokov A.B., Buryachkovskaya L.I., Lomakin N.V., Dotsenko Yu.V., Uchitel I.A., Timofeeva L.A. Duration of Dual Antiplatelet Therapy in Patients With Ischemic Heart Disease After Implantation of Endovascular Stents. Kardiologiia. 2018;58(1):41-52. (In Russ.) https://doi.org/10.18087/cardio.2018.1.10081
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