Баланс пользы и риска при назначении антитромботической терапии у больных ишемической болезнью сердца. Как относиться к проблеме желудочно-кишечных кровотечений?

Обзор посвящен проблеме кровотечений из верхних отделов желудочно-кишечного тракта у больных ишемической болезнью сердца (ИБС), получающих антитромботическую терапию. Подробно рассмотрены подходы к стратификации риска желудочно-кишечных кровотечений и коррекции модифицируемых факторов, определяющих вероятность развития данных событий. Даны рекомендации по назначению препаратов для защиты желудка. Подчеркивается взаимосвязь факторов риска тромбозов и кровотечений и обсуждаются возможные показания для многокомпонентного антитромботического лечения у больных стабильной ИБС.

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