Острый коронарный синдром и анемия: особенности выбора оптимальной врачебной тактики (обзор)

Острый коронарный синдром и анемия: особенности выбора оптимальной врачебной тактики (обзор)

Автор: Пучиньян Н. Ф., Фурман Н. В., Малинова Л. И., Довгалевский Я. П.

Журнал: Саратовский научно-медицинский журнал @ssmj

Рубрика: Кардиология

Статья в выпуске: 3 т.17, 2021 года.

Бесплатный доступ

В обзоре оценивается по данным литературы клинико-патогенетическая значимость анемии у пациентов с острым коронарным синдромом (ОКС). В указанной клинической ситуации выделяются проблемы выбора оптимальной терапии, связанные с наименьшей доказательной базой. Для этого проанализированы результаты клинических исследований, опубликованных в библиографических базах: PubMed, Publons и eLibrary (в обзор вошло 40 публикаций за 1989–2020 гг.). Наиболее хорошо изученными являются эпидемиологические особенности анемического синдрома у больных с ОКС (максимальное количество исследований). Анемия широко распространена при ОКС и ассоциирована с неблагоприятным прогнозом. Остается нерешенным вопрос, играет ли анемия прямую причинно-следственную роль в ухудшении краткосрочной и долгосрочной заболеваемости и смертности, или это скорее показатель плохого клинического состояния. Отдельного изучения, вследствие минимальной доказательной базы, требует выбор оптимальной антитромботической терапии при ОКС у больных с анемией: как конкретных препаратов, так и длительности их приема

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Острый коронарный синдром, анемия, антитромботическая терапия, клинические рекомендации.

Короткий адрес: https://sciup.org/149138154

IDR: 149138154

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