Medical Library - Medical Teaching Hospital, Maribor (SBMB)
13.
Učinkovito in varno antitrombotično zdravljenje po možgansko-žilnem dogodku
Magdič, Jožef, 1975-
Poleg nefarmakološkega obvladovanja dejavnikov tveganja, je antitrombotično zdravljenje osnova preprečevanja ponovnih možgansko-žilnih dogodkov. Antiagregacijska zdravila so indicirana praktično pri ...vseh po ne-kardioembolični možganski kapi, medtem ko je po kardioemboličnih dogodkih potrebno antikoagulantno zdravljenje. Priporočila zmeraj ne upoštevajo vseh prednosti in tveganj za posameznika, zato moramo opredeliti razmerje med koristjo in nevarnostmi za vsakega bolnika posebej. Pri tem so nam v pomoč lestvice kot sta CHA2DS2VASC in HAS-BLED, vseeno pa obstajajo tudi drugi dejavniki, kot so oblika možganske kapi ali krvavitve, obsežnost kapi, možganske mikrokrvavitve. Krvavitve, še posebej intrakranialne, so resen in življenje ogrožajoč zaplet antitrombotičnega zdravljenja. V prispevku so navedeni dodatni dejavniki, ki jih velja upoštevati pri oceni tveganja za možgansko krvavitev pri uvedbi ali ponovni uvedbi antitrombotičnih zdravil.
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