Methods of prevention of thromboembolic complications in patients with atrial fibrillation
- Authors: Patsenko M.B1,2, Steklov V.I3,2, Ivanov S.A4, Danilov Y.A4, Nugaeva N.R2
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Affiliations:
- General Military Medical Directorate of the Ministry of Defense of the Russian Federation
- the S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
- The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
- 12th Consultative and Diagnostic Center of the Ministry of Defense of the Russian Federation
- Issue: Vol 342, No 7 (2021)
- Pages: 15-25
- Section: Articles
- URL: https://journals.eco-vector.com/0026-9050/article/view/82602
- DOI: https://doi.org/10.52424/00269050_2021_342_7_15
- ID: 82602
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Abstract
The analysis of studies devoted to methods of prevention of thromboembolic complications in patients with various forms of atrial fibrillation is presented. The main focus was on pharmacological methods for the prevention of ischemic stroke and systemic thromboembolism. The basic principles of choosing the optimal anticoagulant therapy, taking into account the risk factors for thromboembolic complications and bleeding, as well as patients’ polymorbidity, are outlined. The main indications for the use of oral anticoagulants are described. An algorithm for choosing the optimal anticoagulant therapy in patients with atrial fibrillation after percutaneous coronary intervention with the acute coronary syndrome and stable coronary artery disease, as well as with catheter ablation, has been demonstrated. Non - pharmacological methods for the prevention of thromboembolic complications are highlighted with a description of the main indications for implantation of occluders in the left atrial appendage, its surgical occlusion, or isolation.
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About the authors
M. B Patsenko
General Military Medical Directorate of the Ministry of Defense of the Russian Federation; the S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian FederationMoscow, Russia
V. I Steklov
The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation; the S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: vsteklov@yandex.ru
Moscow, Russia
S. A Ivanov
12th Consultative and Diagnostic Center of the Ministry of Defense of the Russian FederationMoscow, Russia
Yu. A Danilov
12th Consultative and Diagnostic Center of the Ministry of Defense of the Russian FederationMoscow, Russia
N. R Nugaeva
the S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian FederationMoscow, Russia
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Supplementary files
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).