medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2018-5-70-74medsovet-2360Research ArticleКоморбидный пациентComorbid patientПожилой пациент с фибрилляцией предсердий и коморбидной патологией: возможности применения дабигатранаElderly patient with atrial fibrillation and comorbid pathology: therapeutic potential of dabigatrane administrationНапалковД. А.NapalkovD. A.

д.м.н., профессор

MD, Prof.

СоколоваА. А.SokolovaA. A.

к.м.н.

PhD in medicine

Первый Московский государственный медицинский университетРоссияSechenov First Moscow State Medical University И.М. of the Ministry of Health of RussiaRussian Federation201811042018057074Copyright © Напалков Д.А., Соколова А.А., 20182018Напалков Д.А., Соколова А.А.Napalkov D.A., Sokolova A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/2360

В статье рассматривается возможность назначения антикоагулянтной терапии пожилым пациентам с фибрилляцией предсердий в различных клинических ситуациях. Представлены ключевые данные рандомизированных клинических исследований по возможностям безопасного и эффективного использования прямого ингибитора тромбина в группах пожилых пациентов, перенесших ЧКВ, ОНМК/ТИА, а также у пациентов с сопутствующей хронической болезнью почек и сахарным диабетом.

The article considers the possibility of prescribing anticoagulant therapy to elderly patients with atrial fibrillation in various clinical situations. It presents key data from randomized clinical trials for the safe and effective use of direct thrombin inhibitors in elderly patients undergoing percutaneous coronary intervention, acute cerebrovascular event/ transient ischaemic attack, and patients with concomitant chronic kidney disease and diabetes mellitus.

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