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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">rpcardio</journal-id><journal-title-group><journal-title xml:lang="en">Rational Pharmacotherapy in Cardiology</journal-title><trans-title-group xml:lang="ru"><trans-title>Рациональная Фармакотерапия в Кардиологии</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1819-6446</issn><issn pub-type="epub">2225-3653</issn><publisher><publisher-name>«SILICEA-POLIGRAF» LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.20996/1819-6446-2011-7-6-757-764</article-id><article-id custom-type="elpub" pub-id-type="custom">rpcardio-991</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>POINT OF VIEW</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ТОЧКА ЗРЕНИЯ</subject></subj-group></article-categories><title-group><article-title>DABIGATRAN ETEXILATE FOR PREVENTION OF CARDIOEMBOLIC COMPLICATIONS IN NONVALVULAR ATRIAL FIBRILLATION: HOW TO DO THE INTERVENTION MORE EFFECTIVE AND SAFER</article-title><trans-title-group xml:lang="ru"><trans-title>ПРИМЕНЕНИЕ ДАБИГАТРАНА ЭТЕКСИЛАТА ДЛЯ ПРОФИЛАКТИКИ КАРДИОЭМБОЛИЧЕСКИХ ОСЛОЖНЕНИЙ ПРИ НЕКЛАПАННОЙ ФИБРИЛЛЯЦИИ  ПРЕДСЕРДИЙ: КАК СДЕЛАТЬ ВМЕШАТЕЛЬСТВО  НАИБОЛЕЕ ЭФФЕКТИВНЫМ И БЕЗОПАСНЫМ</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Явелов</surname><given-names>И. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Yavelov</surname><given-names>I. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., профессор кафедры клинической фармакологии</p></bio><email xlink:type="simple">yavelov@yahoo.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Российский национальный исследовательский медицинский университет им. Н.И. Пирогова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>The Russian National Research Medical University named after N.I. Pirogov</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2011</year></pub-date><pub-date pub-type="epub"><day>23</day><month>01</month><year>2016</year></pub-date><volume>7</volume><issue>6</issue><fpage>757</fpage><lpage>764</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Yavelov I.S., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Явелов И.С.</copyright-holder><copyright-holder xml:lang="en">Yavelov I.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.rpcardio.online/jour/article/view/991">https://www.rpcardio.online/jour/article/view/991</self-uri><abstract><p>Application of dabigatran etexilate for prevention of cardioembolic complications in nonvalvular atrial fibrillation is considered. Results of randomized clinical trials on efficacy and safety of dabigatran in various doses are discussed. Besides, a comparison of dabigatran and varfarin therapies is presented taking into account pharmacoeconomic data. Recommendations on dabigatran dosing are considered to do intervention more effective and safer.</p></abstract><trans-abstract xml:lang="ru"><p>Рассмотрено применение дабигатрана этексилата для профилактики кардиоэмболических осложнений при неклапанной фибрилляции предсердий. С учетом результатов крупного рандомизированного клинического исследования представлены данные по эффективности и безопасности различных доз дабигатрана, а также его сравнение с варфарином и фармакоэкономические аспекты. Даны рекомендации по выбору дозы дабигатрана, чтобы сделать вмешательство наиболее эффективным и безопасным.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>фибрилляция предсердий</kwd><kwd>дабигатран</kwd><kwd>рандомизированные клинические исследования</kwd></kwd-group><kwd-group xml:lang="en"><kwd>atrial fibrillation</kwd><kwd>dabigatran</kwd><kwd>randomized clinical trials</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Guidelines for the management of atrial fibrillation. The Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC). Eur Heart J 2010; 31: 2369-2429.</mixed-citation><mixed-citation xml:lang="en">Guidelines for the management of atrial fibrillation. The Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC). Eur Heart J 2010; 31: 2369-2429.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Fuster V., Ryden L., Cannom D. et al. ACC/AHA/ESC 2006 Guidelines for the Management of Patients with Atrial Fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines. Circulation 2006; 114: e257–e354.</mixed-citation><mixed-citation xml:lang="en">Fuster V., Ryden L., Cannom D. et al. ACC/AHA/ESC 2006 Guidelines for the Management of Patients with Atrial Fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines. Circulation 2006; 114: e257–e354.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Hart R.G., Benavente O., McBride R., Pearce L.A. Antithrombotic Therapy To Prevent Stroke in Patients with Atrial Fibrillation: A Meta-Analysis. Ann Intern Med 1999; 131: 492-501.</mixed-citation><mixed-citation xml:lang="en">Hart R.G., Benavente O., McBride R., Pearce L.A. Antithrombotic Therapy To Prevent Stroke in Patients with Atrial Fibrillation: A Meta-Analysis. Ann Intern Med 1999; 131: 492-501.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Hart R.G., Pearce L.A., Aguilar M.I. Meta-analysis: Antithrombotic Therapy to Prevent Stroke in Patients Who Have Nonvalvular Atrial Fibrillation. Ann Intern Med 2007;146: 857-867.</mixed-citation><mixed-citation xml:lang="en">Hart R.G., Pearce L.A., Aguilar M.I. Meta-analysis: Antithrombotic Therapy to Prevent Stroke in Patients Who Have Nonvalvular Atrial Fibrillation. Ann Intern Med 2007;146: 857-867.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Connolly S.J., Eikelboom J., Joyner C., for the AVERROES Steering Committee and Investigators. Apixaban in Patients with Atrial Fibrillation. N Engl J Med 2011; 364(9): 806-17.</mixed-citation><mixed-citation xml:lang="en">Connolly S.J., Eikelboom J., Joyner C., for the AVERROES Steering Committee and Investigators. Apixaban in Patients with Atrial Fibrillation. N Engl J Med 2011; 364(9): 806-17.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">The ACTIVE Investigators. Effect of Clopidogrel Added to Aspirin in Patients with Atrial Fibrillation. N Engl J Med 2009; 360: 2066-2-78.</mixed-citation><mixed-citation xml:lang="en">The ACTIVE Investigators. Effect of Clopidogrel Added to Aspirin in Patients with Atrial Fibrillation. N Engl J Med 2009; 360: 2066-2-78.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Ansell J., Hirsh J., Hylek E., et al. Pharmacology and Management of the Vitamin K Antagonists. American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 2008; 133: 160S-198S.</mixed-citation><mixed-citation xml:lang="en">Ansell J., Hirsh J., Hylek E., et al. Pharmacology and Management of the Vitamin K Antagonists. American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 2008; 133: 160S-198S.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">White H.D., Gruber M., Feyzi J., et al. Comparison of Outcomes Among Patients Randomized to War-farin Therapy According to Anticoagulant Control. Results From SPORTIF III and V. Arch Intern Med 2007; 167: 239-245.</mixed-citation><mixed-citation xml:lang="en">White H.D., Gruber M., Feyzi J., et al. Comparison of Outcomes Among Patients Randomized to War-farin Therapy According to Anticoagulant Control. Results From SPORTIF III and V. Arch Intern Med 2007; 167: 239-245.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Connolly S.J., Pogue J., Eikelboom J., et al.; on behalf of the ACTIVE W Investigators. Benefit of Oral Anticoagulant Over Antiplatelet Therapy in Atrial Fibrillation Depends on the Quality of International Normalized Ratio Control Achieved by Centers and Countries as Measured by Time in Therapeutic Range. Circulation 2008; 118: 2029-2037.</mixed-citation><mixed-citation xml:lang="en">Connolly S.J., Pogue J., Eikelboom J., et al.; on behalf of the ACTIVE W Investigators. Benefit of Oral Anticoagulant Over Antiplatelet Therapy in Atrial Fibrillation Depends on the Quality of International Normalized Ratio Control Achieved by Centers and Countries as Measured by Time in Therapeutic Range. Circulation 2008; 118: 2029-2037.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Lane D.A., Lip G.Y.H. Anticoagulation intensity for elderly atrial fibrillation patients: Should we use a conventional INR target (2.0 to 3.0) or a lower range? Thromb Haemost 2010; 103: 254-256.</mixed-citation><mixed-citation xml:lang="en">Lane D.A., Lip G.Y.H. Anticoagulation intensity for elderly atrial fibrillation patients: Should we use a conventional INR target (2.0 to 3.0) or a lower range? Thromb Haemost 2010; 103: 254-256.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Go A.S., Hylek E.M., Borowsky L.H., et al. Warfarin Use among Ambulatory Patients with Nonvalvular Atrial Fibrillation: The AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. Ann Intern Med 1999; 131: 927-934.</mixed-citation><mixed-citation xml:lang="en">Go A.S., Hylek E.M., Borowsky L.H., et al. Warfarin Use among Ambulatory Patients with Nonvalvular Atrial Fibrillation: The AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. Ann Intern Med 1999; 131: 927-934.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Birman-Deych E., Radford M.J., Nilasena D.S., Gage B.F. Use and effectiveness of warfarin in Medicare beneficiaries with atrial fibrillation. Stroke 2006; 37:1070-1074.</mixed-citation><mixed-citation xml:lang="en">Birman-Deych E., Radford M.J., Nilasena D.S., Gage B.F. Use and effectiveness of warfarin in Medicare beneficiaries with atrial fibrillation. Stroke 2006; 37:1070-1074.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Nieuwlaat R., Capucci A., Camm A.J., et al. Atrial fibrillation management: a prospective survey in ESC member countries: the Euro Heart Survey on Atrial Fibrillation. Eur Heart J 2005; 26: 2422-2434.</mixed-citation><mixed-citation xml:lang="en">Nieuwlaat R., Capucci A., Camm A.J., et al. Atrial fibrillation management: a prospective survey in ESC member countries: the Euro Heart Survey on Atrial Fibrillation. Eur Heart J 2005; 26: 2422-2434.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Connolly S.J., Ezekowitz M.D., Yusuf S., et al. Dabigatran versus warfarin in patients with atrial ﬁbrillation. N Engl J Med 2009; 361: 1139–1151.</mixed-citation><mixed-citation xml:lang="en">Connolly S.J., Ezekowitz M.D., Yusuf S., et al. Dabigatran versus warfarin in patients with atrial ﬁbrillation. N Engl J Med 2009; 361: 1139–1151.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Patel M.R., Mahaffey K.W., Garg J., et al., and the ROCKET AF Steering Committee, for the ROCKET AF Investigators. Rivaroxaban versus Warfarin in Nonvalvular Atrial Fibrillation. N Engl J Med 2011.</mixed-citation><mixed-citation xml:lang="en">Patel M.R., Mahaffey K.W., Garg J., et al., and the ROCKET AF Steering Committee, for the ROCKET AF Investigators. Rivaroxaban versus Warfarin in Nonvalvular Atrial Fibrillation. N Engl J Med 2011.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Granger C.B., Alexander J.H., McMurray J.J.V., et al., for the ARISTOTLE Committees and Investigators. Apixaban versus Warfarin in Patients with Atrial Fibrillation. N Engl J Med 2011.</mixed-citation><mixed-citation xml:lang="en">Granger C.B., Alexander J.H., McMurray J.J.V., et al., for the ARISTOTLE Committees and Investigators. Apixaban versus Warfarin in Patients with Atrial Fibrillation. N Engl J Med 2011.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Ansell J., Hollowell J., Pengo V., et al. Descriptive analysis of the process and quality of oral anticoagulation management in real-life practice in patients with chronic non-valvular atrial fibrillation: the international study of anticoagulation management (ISAM). J Thromb Thrombolysis 2007; 23: 83-91.</mixed-citation><mixed-citation xml:lang="en">Ansell J., Hollowell J., Pengo V., et al. Descriptive analysis of the process and quality of oral anticoagulation management in real-life practice in patients with chronic non-valvular atrial fibrillation: the international study of anticoagulation management (ISAM). J Thromb Thrombolysis 2007; 23: 83-91.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Hylek E.M., Singer D.E. Risk factors for intracranial hemorrhage in outpatients taking warfarin. Ann Intern Med 1994; 120: 897-902.</mixed-citation><mixed-citation xml:lang="en">Hylek E.M., Singer D.E. Risk factors for intracranial hemorrhage in outpatients taking warfarin. Ann Intern Med 1994; 120: 897-902.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Connolly S.J., Ezekowitz M.D., Yusuf S., et al., for the Randomized Evaluation of Long-Term Anticoagulation Therapy Investigators. Newly Identified Events in the RE-LY Trial. N Engl J Med 2010; 363: 1875-1876.</mixed-citation><mixed-citation xml:lang="en">Connolly S.J., Ezekowitz M.D., Yusuf S., et al., for the Randomized Evaluation of Long-Term Anticoagulation Therapy Investigators. Newly Identified Events in the RE-LY Trial. N Engl J Med 2010; 363: 1875-1876.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Eikelboom J.W., Wallentin Lars, Connolly S., et al. Risk of Bleeding With 2 Doses of Dabigatran Compared With Warfarin in Older and Younger Patients With Atrial Fibrillation An Analysis of the Randomized Evaluation of Long-Term Anticoagulant Therapy (RE-LY) Trial. Circulation 2011; 123: 2363-2372.</mixed-citation><mixed-citation xml:lang="en">Eikelboom J.W., Wallentin Lars, Connolly S., et al. Risk of Bleeding With 2 Doses of Dabigatran Compared With Warfarin in Older and Younger Patients With Atrial Fibrillation An Analysis of the Randomized Evaluation of Long-Term Anticoagulant Therapy (RE-LY) Trial. Circulation 2011; 123: 2363-2372.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Wallentin L., Yusuf S., Ezekowitz M.D., et al., on behalf of the RE-LY investigators. Efficacy and safety of dabigatran compared with warfarin at different levels of international normalised ratio control for stroke prevention in atrial fibrillation: an analysis of the RE-LY trial. Lancet 2010; 376(9745): 975-83.</mixed-citation><mixed-citation xml:lang="en">Wallentin L., Yusuf S., Ezekowitz M.D., et al., on behalf of the RE-LY investigators. Efficacy and safety of dabigatran compared with warfarin at different levels of international normalised ratio control for stroke prevention in atrial fibrillation: an analysis of the RE-LY trial. Lancet 2010; 376(9745): 975-83.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Shah S.V., Gage B.F. Cost-Effectiveness of Dabigatran for Stroke Prophylaxis in Atrial Fibrillation. Circulation 2011; 123: 2562-2570.</mixed-citation><mixed-citation xml:lang="en">Shah S.V., Gage B.F. Cost-Effectiveness of Dabigatran for Stroke Prophylaxis in Atrial Fibrillation. Circulation 2011; 123: 2562-2570.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Freeman J.V., Zhu R.P., Owens D.K., et al. Cost-Effectiveness of Dabigatran Compared With Warfarin for Stroke Prevention in Atrial Fibrillation. Ann Intern Med 2011; 154: 1-11.</mixed-citation><mixed-citation xml:lang="en">Freeman J.V., Zhu R.P., Owens D.K., et al. Cost-Effectiveness of Dabigatran Compared With Warfarin for Stroke Prevention in Atrial Fibrillation. Ann Intern Med 2011; 154: 1-11.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Cairns JA, Connolly S, McMurtry S, et al.; CCS Atrial Fibrillation Guidelines Committee. Canadian Cardiovascular Society atrial fibrillation guidelines 2010: prevention of stroke and systemic thromboembolism in atrial fibrillation and flutter. Can J Cardiol 2011;27(1):74-90.</mixed-citation><mixed-citation xml:lang="en">Cairns JA, Connolly S, McMurtry S, et al.; CCS Atrial Fibrillation Guidelines Committee. Canadian Cardiovascular Society atrial fibrillation guidelines 2010: prevention of stroke and systemic thromboembolism in atrial fibrillation and flutter. Can J Cardiol 2011;27(1):74-90.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Beasley B.N., Unger E.F., Temple R. Anticoagulant Options - Why FDA Approved a Higher but not a Lower Dose of Dabigatran. Engl J Med 2011; 364(19): 1788-90.</mixed-citation><mixed-citation xml:lang="en">Beasley B.N., Unger E.F., Temple R. Anticoagulant Options - Why FDA Approved a Higher but not a Lower Dose of Dabigatran. Engl J Med 2011; 364(19): 1788-90.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Wann L.S., Curtis A.B., Ellenbogen K.A., et al. 2011 ACCF/AHA/HRS Focused Update on the Management of Patients With Atrial Fibrillation (Update on Dabigatran). A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation 2011; 123: 1144-1150.</mixed-citation><mixed-citation xml:lang="en">Wann L.S., Curtis A.B., Ellenbogen K.A., et al. 2011 ACCF/AHA/HRS Focused Update on the Management of Patients With Atrial Fibrillation (Update on Dabigatran). A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation 2011; 123: 1144-1150.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Pradaxa (dabigatran etexilate mesilate). Summary of opinion. EMA/CHMP/304146/2011. Committee for medicinal products for human use (CHMP). 14 April 2011. Available at: http://www.ema.europa.eu/docs/en_GB/document_library/Summary_of_opinion/human/000829/WC500105283.pdf . Date of access: 08.12.2011.</mixed-citation><mixed-citation xml:lang="en">Pradaxa (dabigatran etexilate mesilate). Summary of opinion. EMA/CHMP/304146/2011. Committee for medicinal products for human use (CHMP). 14 April 2011. Available at: http://www.ema.europa.eu/docs/en_GB/document_library/Summary_of_opinion/human/000829/WC500105283.pdf . Date of access: 08.12.2011.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Pradaxa (dabigatran etexilate mesilate). EPAR summary for the public. Available at: http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Summary_for_the_public/human/000829/WC500041060.pdf. Date of access: 08.12.2011.</mixed-citation><mixed-citation xml:lang="en">Pradaxa (dabigatran etexilate mesilate). EPAR summary for the public. Available at: http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Summary_for_the_public/human/000829/WC500041060.pdf. Date of access: 08.12.2011.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">European Medicines Agency updates on safety of Pradaxa. Available at: http://www.ema.europa.eu/docs/en_GB/document_library/Press_release/2011/11/WC500117818.pdf. Date of access: 08.12.2011.</mixed-citation><mixed-citation xml:lang="en">European Medicines Agency updates on safety of Pradaxa. Available at: http://www.ema.europa.eu/docs/en_GB/document_library/Press_release/2011/11/WC500117818.pdf. Date of access: 08.12.2011.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Wood S. Dabigatran: 260 fatal bleeds since approval worldwide. Available at: http://www.the-heart.org/article/1314809.doc. Date of access: 08.12.2011.</mixed-citation><mixed-citation xml:lang="en">Wood S. Dabigatran: 260 fatal bleeds since approval worldwide. Available at: http://www.the-heart.org/article/1314809.doc. Date of access: 08.12.2011.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Pradaxa (dabigatran etexilate mesilate). Full prescribing information Availabe at: http://www.ac-cessdata.fda.gov/drugsatfda_docs/label/2011/022512s007lbl.pdf. Date of access: 08.12.2011.</mixed-citation><mixed-citation xml:lang="en">Pradaxa (dabigatran etexilate mesilate). Full prescribing information Availabe at: http://www.ac-cessdata.fda.gov/drugsatfda_docs/label/2011/022512s007lbl.pdf. Date of access: 08.12.2011.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
