THE SELECTION PROBLEMS OF ANTITHROMBOTIC THERAPY IN NONVALVULAR ATRIAL FIBRILLATION WITH COMORBIDITIES
As does the clinical practice show, physician often deals with a problem of intolerability of oral anticoagulants, both vitamin K antagonists and new oral anticoagulants, either with a refuse taking these drugs at all. Hence there is an issue raises on the selection of antithrombotic therapy in atri...
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| Format: | Article |
| Language: | Russian |
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«SILICEA-POLIGRAF» LLC
2015-08-01
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| Series: | Кардиоваскулярная терапия и профилактика |
| Subjects: | |
| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/250 |
| _version_ | 1797882534836568064 |
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| author | N. A. Koziolova Е. А. Polyanskaya |
| author_facet | N. A. Koziolova Е. А. Polyanskaya |
| author_sort | N. A. Koziolova |
| collection | DOAJ |
| description | As does the clinical practice show, physician often deals with a problem of intolerability of oral anticoagulants, both vitamin K antagonists and new oral anticoagulants, either with a refuse taking these drugs at all. Hence there is an issue raises on the selection of antithrombotic therapy in atrial fibrillation (AF), and primarily, with ischemic heart disease, diabetes, stroke in anamnesis. There is a broad discussion in literature of the purpose for prescription of aspirin monotherapy to such patients with the aim of myocardial infarction and ischemic stroke prevention. In the article we present a case of female patient with nonvalvular AF having ischemic stroke and acute coronary syndrome at the background of serious comorbidities, the errors in the management are shown on the selection of antithrombotic therapy and directions provided for secondary prevention of thromboembolic complications, recurrent ischemic events according to International and Russian Guidelines. |
| first_indexed | 2024-04-10T03:36:13Z |
| format | Article |
| id | doaj.art-66bcf03f1ba84b4887e98db5ac37f2ca |
| institution | Directory Open Access Journal |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| last_indexed | 2024-04-10T03:36:13Z |
| publishDate | 2015-08-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj.art-66bcf03f1ba84b4887e98db5ac37f2ca2023-03-13T07:23:24Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252015-08-01144758510.15829/1728-8800-2015-4-75-85249THE SELECTION PROBLEMS OF ANTITHROMBOTIC THERAPY IN NONVALVULAR ATRIAL FIBRILLATION WITH COMORBIDITIESN. A. Koziolova0Е. А. Polyanskaya1ГБОУ ВПО "Пермский государственный медицинский университет имени академика Е. А. Вагнера" Минздрава России. Пермь, РоссияГБОУ ВПО "Пермский государственный медицинский университет имени академика Е. А. Вагнера" Минздрава России. Пермь, РоссияAs does the clinical practice show, physician often deals with a problem of intolerability of oral anticoagulants, both vitamin K antagonists and new oral anticoagulants, either with a refuse taking these drugs at all. Hence there is an issue raises on the selection of antithrombotic therapy in atrial fibrillation (AF), and primarily, with ischemic heart disease, diabetes, stroke in anamnesis. There is a broad discussion in literature of the purpose for prescription of aspirin monotherapy to such patients with the aim of myocardial infarction and ischemic stroke prevention. In the article we present a case of female patient with nonvalvular AF having ischemic stroke and acute coronary syndrome at the background of serious comorbidities, the errors in the management are shown on the selection of antithrombotic therapy and directions provided for secondary prevention of thromboembolic complications, recurrent ischemic events according to International and Russian Guidelines.https://cardiovascular.elpub.ru/jour/article/view/250фибрилляция предсердийантикоагулянтыацетилсалициловая кислотаклопидогрел |
| spellingShingle | N. A. Koziolova Е. А. Polyanskaya THE SELECTION PROBLEMS OF ANTITHROMBOTIC THERAPY IN NONVALVULAR ATRIAL FIBRILLATION WITH COMORBIDITIES Кардиоваскулярная терапия и профилактика фибрилляция предсердий антикоагулянты ацетилсалициловая кислота клопидогрел |
| title | THE SELECTION PROBLEMS OF ANTITHROMBOTIC THERAPY IN NONVALVULAR ATRIAL FIBRILLATION WITH COMORBIDITIES |
| title_full | THE SELECTION PROBLEMS OF ANTITHROMBOTIC THERAPY IN NONVALVULAR ATRIAL FIBRILLATION WITH COMORBIDITIES |
| title_fullStr | THE SELECTION PROBLEMS OF ANTITHROMBOTIC THERAPY IN NONVALVULAR ATRIAL FIBRILLATION WITH COMORBIDITIES |
| title_full_unstemmed | THE SELECTION PROBLEMS OF ANTITHROMBOTIC THERAPY IN NONVALVULAR ATRIAL FIBRILLATION WITH COMORBIDITIES |
| title_short | THE SELECTION PROBLEMS OF ANTITHROMBOTIC THERAPY IN NONVALVULAR ATRIAL FIBRILLATION WITH COMORBIDITIES |
| title_sort | selection problems of antithrombotic therapy in nonvalvular atrial fibrillation with comorbidities |
| topic | фибрилляция предсердий антикоагулянты ацетилсалициловая кислота клопидогрел |
| url | https://cardiovascular.elpub.ru/jour/article/view/250 |
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