cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLC10.15829/1728-8800-2014-4-69-74cardiovascular-37Research ArticleОБЗОРЫREVIEWSСОВРЕМЕННЫЕ ПРИНЦИПЫ АНТИТРОМБОЦИТАРНОЙ ТЕРАПИИ В ЛЕЧЕНИИ БОЛЬНЫХ ИШЕМИЧЕСКОЙ БОЛЕЗНЬЮ СЕРДЦАCONTEMPORARY APPROACHES TO ANTIPLATELET THERAPY IN CORONARY HEART DISEASE TREATMENTМацкеплишвилиС. Т.MatskeplishviliS. T.

д.м.н., с.н.с. клинико-диагностического отделения

АрутюноваЯ. Э.ArutyunovaS. Ya.

аспирант отделения

Тел.: (499) 414–77–55 

iko83@mail.ruНаучный центр сердечно-сосудистой хирургии им. А.Н. Бакулева РАМН, МоскваThe Scientific Centre for Cardiovascular surgery n.a. Bakulev A.N. Moscow2014200820141346974Copyright © Мацкеплишвили С.Т., Арутюнова Я.Э., 20142014Мацкеплишвили С.Т., Арутюнова Я.Э.Matskeplishvili S.T., Arutyunova S.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/37

Чрескожные коронарные вмешательства (ЧКВ) все шире используются как метод реваскуляризации миокарда при ишемической болезни сердца (ИБС). Двойная антитромбоцитарная терапия, включая ацетилсалициловую кислоту и клопидогрел, вошла в рутинную практику лечения пациентов с ИБС, направляемых на ЧКВ для предотвращения развития тромбоза. Максимальная оптимизация двойной антитромбоцитарной терапии с оценкой степени агрегации тромбоцитов после проведенного ЧКВ может иметь дополнительное влияние на кардиоваскулярную заболеваемость и смертность. 

Transcutaneous interventions (PCI) are in growing usage as a method to revascularize myocardium in coronary heart disease. Double antiplatelet therapy, including acetylsalicylic acid clopidogrel, is now routinely prescribed for CHD patients preparing to undergo coronary intervention to prevent thrombosis. Reaching the maximum advantage in double antiplatelet therapy with control of platelet function after PCI may have additional value in cardiovascular morbidity and mortality prevention. 

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The authors declare that there are no conflicts of interest present.