milmedВоенная медицинаMilitary Medicine2074-5044Белорусский государственный медицинский университет10.51922/2074-5044.2024.3.58milmed-310Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESАнтитромботическая терапия у пациентов с фибрилляцией предсердий и острым коронарным синдромом: проблемы и пути их решенияANTITHROMBOTIC THERAPY IN PATIENTS WITH ATRIAL FIBRILLATION AND ACUTE CORONARY SYNDROME – PROBLEMS AND WAYS TO SOLVEКорнелюкИ. В.KarnialiukI.АлексейчикС. Е.AliakseichykS.КорнелюкМ. Н.KarnialiukM.УО «Белорусский государственный медицинский университет»BelarusРеспубликанский научно-практический центр «Кардиология»Belarus202428082026035863Copyright © Корнелюк И.В., Алексейчик С.Е., Корнелюк М.Н., 20262026Корнелюк И.В., Алексейчик С.Е., Корнелюк М.Н.Karnialiuk I., Aliakseichyk S., Karnialiuk M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://milmed.ejournal.by/jour/article/view/310

В статье представлен обзор современных подходов к комбинированному назначению антитромботических препаратов у пациентов с фибрилляцией предсердий, имеющих показания к приему оральных антикоагулянтов, при развитии у них острого коронарного синдрома, требующего назначения парентеральных антикоагулянтов и антиагрегантов. Эти подходы направлены на повышение эффективности антитромботической терапии при снижении риска развития геморрагических осложнений.

The article provides an overview of modern approaches to the combined prescription of antithrombotic drugs in patients with atrial fibrillation who have indications for taking oral anticoagulants when they develop acute coronary syndrome, requiring the prescription of parenteral anticoagulants and antiplatelet agents. These approaches are aimed at increasing the effectiveness of antithrombotic therapy while reducing the risk of developing hemorrhagic complications.

фибрилляция предсердийострый коронарный синдромантитромботическая терапиягеморрагические осложненияatrial fibrillationacute coronary syndromeantithrombotic therapyanticoagulantshemorrhagic complicationsReferencesКлинический протокол и лечения инфаркта миокарда, нестабильной стенокардии (утвержден постановлением Министерства здарвоохранения Республики Беларусь от 06.06.2017 № 59б стр. 43. // Доступно на: http://minzdrav.gov.by/ru/static/spavochno-infirm/protololy_lechenia/protok_2017.Klinicheskiy protokol diagnostiki i lecheniya infarkta miokarda, nestabil’noy stenokardii (utverzhden postanovleniyem Ministerstva zdravookhraneniya Respubliki Belarus’ ot 06.06.2017 № 59). str. 43. [Clinical protocol of diagnosis and treatment of myocardial infarction, unstable angina (approved by the Ministry of Health of the Republic of Belarus dated 06.06.2017 № 59). p. 43]. 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The authors declare that there are no conflicts of interest present.