Điều trị chống đông sau can thiệp động mạch vành qua da với sự cấy ghép stent ở bệnh nhân không có và có chỉ định điều trị chống đông đường uống

Springer Science and Business Media LLC - Tập 2 - Trang 114-120 - 2008
A. Schlitt1, A. Rubboli2, J. Airaksinen3, K. Werdan1, M. Buerke1
1Universtitätsklinik und Poliklinik für Innere Medizin III, Universitätsklinikum der Martin Luther-Universität Halle-Wittenberg, Halle/Saale, Deutschland
2Division of Cardiology, Maggiore Hospital, Bologna, Italien
3Department of Internal Medicine, Turku University Hospital, Turku, Finnland

Tóm tắt

Điều trị chống đông cho bệnh nhân sau khi cấy ghép stent động mạch vành là một phần của nhiều hướng dẫn y khoa. Tuy nhiên, khi có chỉ định điều trị chống đông đường uống cho những bệnh nhân này, chẳng hạn như rối loạn nhịp tim tuyệt đối ở bệnh nhân mắc chứng rung nhĩ với nguy cơ xuất hiện các biến cố huyết khối - thuyên tắc trung bình hoặc cao, điều trị chống đông vẫn chưa được làm rõ. Một mặt, phần lớn những bệnh nhân này cần điều trị chống đông đường uống để ngăn ngừa các biến cố huyết khối - thuyên tắc, mặt khác, sau khi cấy ghép stent động mạch vành, điều trị kéo dài ít nhất 4 tuần với sự kết hợp sử dụng Clopidogrel và ASS là cần thiết. Trong bài báo tổng quan này, chúng tôi thảo luận trên cơ sở tài liệu đã được công bố, các sự kết hợp của các hoạt chất này có thể mang lại lợi ích cho nhóm bệnh nhân này.

Từ khóa

#điều trị chống đông #cấy ghép stent #động mạch vành #điều trị chống đông đường uống #rung nhĩ #huyết khối thuyên tắc

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