ФИБРИЛЛЯЦИЯ ПРЕДСЕРДИЙ У ПАЦИЕНТОВ С ГЕМОРРАГИЧЕСКИМ ИНСУЛЬТОМ: ПОДХОДЫ К АНТИКОАГУЛЯНТНОЙ ТЕРАПИИ
https://doi.org/10.21518/2079-701X-2017-10-6-11
Аннотация
Фибрилляция предсердий (ФП) – наиболее распространенное нарушение ритма сердца. ФП ассоциируется с увеличением частоты госпитализаций, смертности, развития инсульта, сердечной недостаточности. Основой профилактики сердечно-сосудистых осложнений у больных ФП являются пероральные антикоагулянты. Однако использование антикоагулянтов повышает риск развития внутримозговых гематом. Особую группу больных, перенесших геморрагический инсульт, составляют пациенты с ФП. Данной категории больных, с одной стороны, показана антикоагулянтная терапия в связи с высоким риском развития тромбоэмболических осложнений, с другой стороны, она противопоказана в связи с развитием геморрагического инсульта. Оптимальный режим антитромботической терапии до конца остается неизвестным. Обсуждаются современные подходы к терапии ФП у больных, перенесших геморрагический инсульт.
Об авторах
А. М. Кулагина
Национальный медико-хирургический центр им. Н.И. Пирогова
Россия
Россия
Москва
А. В. Зорина
Национальный медико-хирургический центр им. Н.И. Пирогова
Россия
Россия
Москва
О. И. Виноградов
Национальный медико-хирургический центр им. Н.И. Пирогова
Россия
Россия
Доктор медиинских наук.
Москва
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Рецензия
Для цитирования:
Кулагина АМ, Зорина АВ, Виноградов ОИ. ФИБРИЛЛЯЦИЯ ПРЕДСЕРДИЙ У ПАЦИЕНТОВ С ГЕМОРРАГИЧЕСКИМ ИНСУЛЬТОМ: ПОДХОДЫ К АНТИКОАГУЛЯНТНОЙ ТЕРАПИИ. Медицинский Совет. 2017;(10):6-11. https://doi.org/10.21518/2079-701X-2017-10-6-11
For citation:
Kulagina AM, Zorina AV, Vinogradov OI. ATRIAL FIBRILLATION IN PATIENTS WITH HEMORRHAGIC STROKE: APPROACHES TO ANTICOAGULANT THERAPY. Meditsinskiy sovet = Medical Council. 2017;(10):6-11. (In Russ.) https://doi.org/10.21518/2079-701X-2017-10-6-11
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