Acute coronary syndrome in a patient with transient ischemic attack: challenges of antithrombotic therapy (a clinical case)

The paper presents experience with antithrombotic therapy in a critically ill patient with acute coronary syndrome and transient ischemic attack. It characterizes problems in triple antithrombotic therapy in a very ill patient with comorbidity. The paper demonstrates an incremental approach to choos...

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Main Authors: E. Yu. Kovalchuk, A. S. Povzun, V. A. Kostenko, A. V. Brega
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2019-12-01
Series:Неврология, нейропсихиатрия, психосоматика
Subjects:
Online Access:https://nnp.ima-press.net/nnp/article/view/1227
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author E. Yu. Kovalchuk
A. S. Povzun
V. A. Kostenko
A. V. Brega
author_facet E. Yu. Kovalchuk
A. S. Povzun
V. A. Kostenko
A. V. Brega
author_sort E. Yu. Kovalchuk
collection DOAJ
description The paper presents experience with antithrombotic therapy in a critically ill patient with acute coronary syndrome and transient ischemic attack. It characterizes problems in triple antithrombotic therapy in a very ill patient with comorbidity. The paper demonstrates an incremental approach to choosing therapy according to the clinical picture of disease, an assessment of risk factors for ischemic and hemorrhagic complications over time, which is very important in the routine practice of a physician. It also shows how, based on existing recommendations, the optimal anticoagulant is chosen as part of triple and double antithrombotic therapy in terms of its potential risks and possible complications.
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spelling doaj.art-fedd278974e04a7e819aaa09556b5b462023-03-13T08:42:19ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422019-12-0111415615910.14412/2074-2711-2019-4-156-159939Acute coronary syndrome in a patient with transient ischemic attack: challenges of antithrombotic therapy (a clinical case)E. Yu. Kovalchuk0A. S. Povzun1V. A. Kostenko2A. V. Brega3I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency MedicineI.I. Dzhanelidze Saint Petersburg Research Institute of Emergency MedicineI.I. Dzhanelidze Saint Petersburg Research Institute of Emergency MedicineI.I. Dzhanelidze Saint Petersburg Research Institute of Emergency MedicineThe paper presents experience with antithrombotic therapy in a critically ill patient with acute coronary syndrome and transient ischemic attack. It characterizes problems in triple antithrombotic therapy in a very ill patient with comorbidity. The paper demonstrates an incremental approach to choosing therapy according to the clinical picture of disease, an assessment of risk factors for ischemic and hemorrhagic complications over time, which is very important in the routine practice of a physician. It also shows how, based on existing recommendations, the optimal anticoagulant is chosen as part of triple and double antithrombotic therapy in terms of its potential risks and possible complications.https://nnp.ima-press.net/nnp/article/view/1227anticoagulantsstrokethromboembolism
spellingShingle E. Yu. Kovalchuk
A. S. Povzun
V. A. Kostenko
A. V. Brega
Acute coronary syndrome in a patient with transient ischemic attack: challenges of antithrombotic therapy (a clinical case)
Неврология, нейропсихиатрия, психосоматика
anticoagulants
stroke
thromboembolism
title Acute coronary syndrome in a patient with transient ischemic attack: challenges of antithrombotic therapy (a clinical case)
title_full Acute coronary syndrome in a patient with transient ischemic attack: challenges of antithrombotic therapy (a clinical case)
title_fullStr Acute coronary syndrome in a patient with transient ischemic attack: challenges of antithrombotic therapy (a clinical case)
title_full_unstemmed Acute coronary syndrome in a patient with transient ischemic attack: challenges of antithrombotic therapy (a clinical case)
title_short Acute coronary syndrome in a patient with transient ischemic attack: challenges of antithrombotic therapy (a clinical case)
title_sort acute coronary syndrome in a patient with transient ischemic attack challenges of antithrombotic therapy a clinical case
topic anticoagulants
stroke
thromboembolism
url https://nnp.ima-press.net/nnp/article/view/1227
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