Особенности реперфузионной терапии алтеплазой в лечении ишемического инсульта и острого коронарного синдрома
В статье обсуждаются особенности тромболитической терапии алтеплазой в лечении ишемического инсульта (ИИ) и острого коронарного синдрома (ОКС). Острый ИИ и инфаркт миокарда с подъемом сегмента ST (ИМПЅТ) имеют ряд общих черт, однако важные различия в патофизиологии, диагностике, клинических особенностях требуют индивидуального подхода к каждому заболеванию, при этом быстрое лечение играет определяющую роль для прогноза пациентов. Согласно последним международным и российским рекомендациям и данным рандомизированных клинических исследований, анализируются подходы к различным видам проведения реперфузионной терапии при ИИ и ИМПЅТ. Цель данного обзора – дать представление об общей и отличающейся друг от друга патофизиологии, лежащей в основе современных стратегий реперфузии при ИИ иИМПST, и описать новые способы повышения их клинической эффективности.Сафиуллина З.М., Межонов Е.М., Вялкина Ю.А., Шалаев С.В.
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Список литературы
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Об авторах / Для корреспонденции
Автор для связи: Земфира Мидхатовна Сафиуллина, д.м.н., профессор кафедры кардиологии и кардиохирургии с курсом СМП института клинической медицины, Тюменский государственный медицинский университет, Тюмень, Россия; safiullina@tokb.ru
ORCID:
З.М. Сафиуллина (Zemfira M. Safiullina), https://orcid.org/0000-0002-6485-1061
Е.М. Межонов (Evgeny M. Mezhonov), https://orcid.org/0000-0002-6086-4578
Ю.А. Вялкина (Yulia A. Vyalkina), https://orcid.org/0000-0001-6470-5606
С.В. Шалаев (Sergey V. Shalaev), https://orcid.org/0000-0003-2724-4016