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Difficult issues in the management of patients with atrial fibrillation: a neurologist's point of view

https://doi.org/10.14412/2074-2711-2021-5-4-13

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Abstract

The article evaluates recent perspectives about the role of oral anticoagulants in the secondary prevention of cardioembolic stroke. The timing of prescribing drugs for ischemic stroke and transient ischemic attack is discussed in accordance with current clinical guidelines and the results of clinical trials. The issues of prescribing oral anticoagulants in some problematic situations, such as the elderly and senile age, reperfusion therapy, presence of hemorrhagic transformation, combined atherosclerosis of major head and neck arteries, cerebral microangiopathy, history of intracerebral hemorrhage, cryptogenic stroke, and low patient compliance are considered. Finally, an anticoagulant therapy algorithm in the acute period of cardioembolic stroke is presented.

About the Author

A. A. Kulesh
Acad. E.A. Vagner Perm State Medical University, Ministry of Health of Russia
Russian Federation

Aleksey Aleksandrovich Kulesh

Department of neurology and medical genetics

26, Petropavlovskaya St., Perm 614990



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For citation:


Kulesh A.A. Difficult issues in the management of patients with atrial fibrillation: a neurologist's point of view. Neurology, Neuropsychiatry, Psychosomatics. 2021;13(5):4-13. https://doi.org/10.14412/2074-2711-2021-5-4-13

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