rpcardioRational Pharmacotherapy in CardiologyРациональная Фармакотерапия в Кардиологии1819-64462225-3653«SILICEA-POLIGRAF» LLC10.20996/1819-6446-2010-6-4-522-527rpcardio-858Research ArticlePOINT OF VIEWТОЧКА ЗРЕНИЯANTITHROMBOTIC THERAPY IN NONVALVULAR ATRIAL FIBRILLATION: PROBLEMS AND PROSPECTSАНТИТРОМБОТИЧЕСКАЯ ТЕРАПИЯ ПРИ НЕКЛАПАННОЙ ФИБРИЛЛЯЦИИ ПРЕДСЕРДИЙ: ПРОБЛЕМЫ И ПЕРСПЕКТИВЫРычковА. Ю.RychkovA. Y.

д.м.н., заведующий отделением нарушений ритма сердца НОИМИ 

625026, Тюмень, ул. Мельникайте, 111

Melnikaite ul. 111, Tyumen, 625026

rychkov@cardio.tmn.ruХорьковаН. Ю.Khor'kovaN. Y.

к.м.н., научный сотрудник

625026, Тюмень, ул. Мельникайте, 111

Melnikaite ul. 111, Tyumen, 625026

БлизняковА. А.BliznyakovA. A.

аспирант

625026, Тюмень, ул. Мельникайте, 111

Melnikaite ul. 111, Tyumen, 625026

Филиал Научно-исследовательского института кардиологии Сибирского отделения РАМН «Тюменский кардиологический центр»РоссияBranch of the Research Institute of Cardiology of the Siberian branch of the Russian Academy of Medical Science “Tyumen Cardiology Center”Russian Federation20101801201664522527Copyright © Rychkov A.Y., Khor'kova N.Y., Bliznyakov A.A., 20162016Рычков А.Ю., Хорькова Н.Ю., Близняков А.А.Rychkov A.Y., Khor'kova N.Y., Bliznyakov 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.rpcardio.online/jour/article/view/858

Appropriate use of warfarin is not in routine clinical practice despite convincing data of clinical studies on the possibility of effective reduction in frequency of thromboembolic complications associated with nonvalvular atrial fibrillation, particularly ischemic stroke. Confirmation of the efficacy and implementation of measures related to the effect on blood clotting and providing basically new possibilities to reduce the risk of ischemic events expected in the near future.

Адекватное применение варфарина отсутствует в реальной клинической практике, несмотря на убедительные данные клинических исследований о возможности эффективного снижения частоты тромбоэмболических осложнений, ассоциированных с неклапанной фибрилляцией предсердий, в частности ишемического инсульта. В ближайшее время ожидается подтверждение эффективности и внедрение комплекса мер, связанных с влиянием на свертывающую систему крови и предоставляющих принципиально новые возможности снижения риска ишемических событий.

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