Difficult issues in the management of patients with atrial fibrillation: a neurologist's point of view
The article evaluates recent perspectives about the role of oral anticoagulants in the secondary prevention of cardioembolic stroke. The timing of prescribing drugs for ischemic stroke and transient ischemic attack is discussed in accordance with current clinical guidelines and the results of clinic...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
IMA-PRESS LLC
2021-10-01
|
| Series: | Неврология, нейропсихиатрия, психосоматика |
| Subjects: | |
| Online Access: | https://nnp.ima-press.net/nnp/article/view/1659 |
| _version_ | 1827062776175001600 |
|---|---|
| author | A. A. Kulesh |
| author_facet | A. A. Kulesh |
| author_sort | A. A. Kulesh |
| collection | DOAJ |
| description | The article evaluates recent perspectives about the role of oral anticoagulants in the secondary prevention of cardioembolic stroke. The timing of prescribing drugs for ischemic stroke and transient ischemic attack is discussed in accordance with current clinical guidelines and the results of clinical trials. The issues of prescribing oral anticoagulants in some problematic situations, such as the elderly and senile age, reperfusion therapy, presence of hemorrhagic transformation, combined atherosclerosis of major head and neck arteries, cerebral microangiopathy, history of intracerebral hemorrhage, cryptogenic stroke, and low patient compliance are considered. Finally, an anticoagulant therapy algorithm in the acute period of cardioembolic stroke is presented. |
| first_indexed | 2024-04-10T02:00:46Z |
| format | Article |
| id | doaj.art-4d2229a03e874f7fa7f821e6a7110c71 |
| institution | Directory Open Access Journal |
| issn | 2074-2711 2310-1342 |
| language | Russian |
| last_indexed | 2025-02-18T20:01:16Z |
| publishDate | 2021-10-01 |
| publisher | IMA-PRESS LLC |
| record_format | Article |
| series | Неврология, нейропсихиатрия, психосоматика |
| spelling | doaj.art-4d2229a03e874f7fa7f821e6a7110c712024-10-17T16:15:29ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422021-10-0113541310.14412/2074-2711-2021-5-4-131181Difficult issues in the management of patients with atrial fibrillation: a neurologist's point of viewA. A. Kulesh0Acad. E.A. Vagner Perm State Medical University, Ministry of Health of RussiaThe article evaluates recent perspectives about the role of oral anticoagulants in the secondary prevention of cardioembolic stroke. The timing of prescribing drugs for ischemic stroke and transient ischemic attack is discussed in accordance with current clinical guidelines and the results of clinical trials. The issues of prescribing oral anticoagulants in some problematic situations, such as the elderly and senile age, reperfusion therapy, presence of hemorrhagic transformation, combined atherosclerosis of major head and neck arteries, cerebral microangiopathy, history of intracerebral hemorrhage, cryptogenic stroke, and low patient compliance are considered. Finally, an anticoagulant therapy algorithm in the acute period of cardioembolic stroke is presented.https://nnp.ima-press.net/nnp/article/view/1659strokeatrial fibrillationpreventiondirect oral anticoagulants |
| spellingShingle | A. A. Kulesh Difficult issues in the management of patients with atrial fibrillation: a neurologist's point of view Неврология, нейропсихиатрия, психосоматика stroke atrial fibrillation prevention direct oral anticoagulants |
| title | Difficult issues in the management of patients with atrial fibrillation: a neurologist's point of view |
| title_full | Difficult issues in the management of patients with atrial fibrillation: a neurologist's point of view |
| title_fullStr | Difficult issues in the management of patients with atrial fibrillation: a neurologist's point of view |
| title_full_unstemmed | Difficult issues in the management of patients with atrial fibrillation: a neurologist's point of view |
| title_short | Difficult issues in the management of patients with atrial fibrillation: a neurologist's point of view |
| title_sort | difficult issues in the management of patients with atrial fibrillation a neurologist s point of view |
| topic | stroke atrial fibrillation prevention direct oral anticoagulants |
| url | https://nnp.ima-press.net/nnp/article/view/1659 |
| work_keys_str_mv | AT aakulesh difficultissuesinthemanagementofpatientswithatrialfibrillationaneurologistspointofview |