THE EROSIVE ULCEROUS LESIONS OF UPPER PART OF GASTROINTESTINAL TRACT IN PATIENTS WITH ISCHEMIC HEART DISEASE: TREATMENT AND PREVENTION

Abstract


The erosive ulcerous affections of gastrointestinal tract in patients with cardiovascular diseases occur frequently and are conditioned by both ischemia of organs of digestion against the background of reduced cardiac output and intake of low doses of acetylsalicylic acid combined with anti-coagulants. The bleeding can be the first and the only manifestation of gastroduodenal pathology. The treatment and prevention of aspirin-induced gastropathy provides for implementation of eradication of Helicobacter pylori infection, application of cyto-protectors (Misoprostol or Bismuthate tripotassium dicitrate), long-term using of inhibitors of proton pump. Out of them Pantoprazole has a certain advantage at the expense low risk of medicinal interactions, good clinical efficiency and anti-inflammatory effect.

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About the authors

Elena V. Luzina

The Chitinskaya state medical academy of Minzdrav of Russia

Email: el.luz@list.ru
672090, Chita, Russian Federation
candidate of medical sciences, associate professor of the chair of therapy of the faculty of advanced training and professional education of specialists the Chitinskaya state medical academy of Minzdrav of Russia, 672090, Chita, Russian Federation

N. V Lareva

The Chitinskaya state medical academy of Minzdrav of Russia

672090, Chita, Russian Federation

A. A Zhilina

The Chitinskaya state medical academy of Minzdrav of Russia

672090, Chita, Russian Federation

E. B Zhigzhitova

The Chitinskaya state medical academy of Minzdrav of Russia

672090, Chita, Russian Federation

E. E Ustinova

The Chitinskaya state medical academy of Minzdrav of Russia

672090, Chita, Russian Federation

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