新型口服抗凝剂治疗冠状动脉疾病。

M. Behnes, C. Fastner, U. Ansari, I. Akin
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引用次数: 4

摘要

治疗性抗凝治疗的实施影响冠状动脉疾病(CAD)患者的严重程度和预后。本综述旨在总结目前基于指南的新型口服抗凝剂(NOACs)在稳定性CAD (SCAD)、急性冠脉综合征(ACS)、经皮冠状动脉介入治疗(PCI)和合并心房颤动(AF)患者中的应用。本文概述了使用特定noac的影响,如直接Xa因子抑制剂阿哌沙班和利伐沙班以及直接凝血酶抑制剂达比加群,并将其与维生素k拮抗剂和抗血小板药物(如噻吩吡啶)的益处进行了比较。
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New Oral Anticoagulants in Coronary Artery Disease.
The implementation of therapeutic anticoagulation influences the severity and outcome of patients with coronary artery disease (CAD). This review aims to summarize the current guideline-based recommendations about the use of new oral anticoagulants (NOACs) in patients with stable CAD (SCAD), acute coronary syndromes (ACS), percutaneous coronary interventions (PCI) and in patients with concomitant atrial fibrillation (AF). The implications of the use of specific NOACs, such as the direct factor Xa inhibitors apixaban and rivaroxaban as well as the direct thrombin inhibitor dabigatran are outlined and compared to the benefits of vitamin k antagonists and antiplatelet agents such as thienopyridines in these settings.
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