References

emcardio

Неотложная кардиология и кардиоваскулярные риски

Emergency Cardiology and Cardiovascular Risks journal

2616-633X

Белорусский государственный медицинский университет

emcardio-264

Research Article

Обзоры и лекции

Reviews and lectures

Эволюция взглядов на антитромбоцитарную терапию при остром коронарном синдроме

Evolving views on antithrombotic therapy in acute coronary syndrome

Рудой

А. С.

Rudoy

A. S.

Учреждение образования «Белорусский государственный медицинский университет»Belarusian State Medical University

2018

13112025

22432438

2025

Рудой А.С.

Rudoy A.S.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://emcardio.bsmu.by/jour/article/view/264

В обзорной статье представлены современные данные по одному из ключевых вопросов современной кардиологии — продолжительности двойной антитромбоцитарной терапии у пациентов с перенесенным острым коронарным синдромом, в том числе после коронарной ангиопластики. Проведен анализ актуальных клинических рекомендаций (в том числе ESC72017 по двойной антиагрегантной терапии и остром коронарном синдроме с подъемом сегмента ST), освещены результаты недавних клинических исследований и проведенных метаанализов. Учитывая дилемму балансирования между рисками тромбоэмболических событий и осложнений кровотечения у данных пациентов, представлена шкала оценки рисков ишемических и геморрагических событий, сформированная по результатам исследований DAPT и PRECISE7DAPT.

The review article presents current data on one of the key issues of modern cardiology - the duration of dual antiplatelet therapy in patients with acute coronary syndrome, including postcoronary angioplasty. The analysis of current clinical recommendations (including ESC-2017 for dual antiplatelet therapy and acute coronary syndrome with ST segment elevation) was carried out, the results of recent clinical studies and meta-analyzes were high-lighted. Given the dilemma of balancing the risks of thrombotic events and complications of bleeding in these patients, a scale for assessing the risks of ischemic and hemorrhagic events, formed on the basis of the results of the DAPT and PRECISE-DAPT studies, is presented.

двойная антитромбоцитарная терапияпродолжительностьацетилсалициловая кислотатиенопиридиныиш емические событиякровотечениячрескожное коронарное вмешательствоострый коронарный синдром

dual antiplatelet therapydurationacetylsalicylic acidthienopyridineischemic eventsbleedingpercutaneous coronary interventionacute coronary syndrome

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The authors declare that there are no conflicts of interest present.