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Acute coronary syndrome in a patient with transient ischemic attack: challenges of antithrombotic therapy (a clinical case)

https://doi.org/10.14412/2074-2711-2019-4-156-159

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Abstract

The paper presents experience with antithrombotic therapy in a critically ill patient with acute coronary syndrome and transient ischemic attack. It characterizes problems in triple antithrombotic therapy in a very ill patient with comorbidity. The paper demonstrates an incremental approach to choosing therapy according to the clinical picture of disease, an assessment of risk factors for ischemic and hemorrhagic complications over time, which is very important in the routine practice of a physician. It also shows how, based on existing recommendations, the optimal anticoagulant is chosen as part of triple and double antithrombotic therapy in terms of its potential risks and possible complications.

About the Authors

E. Yu. Kovalchuk
I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Medicine
Russian Federation
3A, Budapeshtskaya St., Saint Petersburg 192242


A. S. Povzun
I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Medicine
Russian Federation
3A, Budapeshtskaya St., Saint Petersburg 192242


V. A. Kostenko
I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Medicine
Russian Federation
3A, Budapeshtskaya St., Saint Petersburg 192242


A. V. Brega
I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Medicine
Russian Federation
3A, Budapeshtskaya St., Saint Petersburg 192242


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For citation:


Kovalchuk E.Yu., Povzun A.S., Kostenko V.A., Brega A.V. Acute coronary syndrome in a patient with transient ischemic attack: challenges of antithrombotic therapy (a clinical case). Neurology, Neuropsychiatry, Psychosomatics. 2019;11(4):156-159. (In Russ.) https://doi.org/10.14412/2074-2711-2019-4-156-159

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)