Cardiovascular Comorbidity: Patient with Coronary Artery Disease and Peripheral Artery Atherosclerosis. How to Identify and Manage the Risks of Ischemic Events?

Modern data on comorbidity in coronary artery disease (CAD) are presented in the article, as well as its frequency, dependence on the age, clinical and prognostic significance, and increasing relevance for practical health care. The positions of one of the components of cardiovascular comorbidity –...

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Main Authors: O. L. Barbarash, V. V. Kashtalap, I. A. Shibanova
Format: Article
Language:English
Published: Столичная издательская компания 2020-09-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:https://www.rpcardio.online/jour/article/view/2259
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author O. L. Barbarash
V. V. Kashtalap
I. A. Shibanova
author_facet O. L. Barbarash
V. V. Kashtalap
I. A. Shibanova
author_sort O. L. Barbarash
collection DOAJ
description Modern data on comorbidity in coronary artery disease (CAD) are presented in the article, as well as its frequency, dependence on the age, clinical and prognostic significance, and increasing relevance for practical health care. The positions of one of the components of cardiovascular comorbidity – multifocal atherosclerosis – are presented. The existing approaches to the detection and clinical assessment of multifocal atherosclerosis, as well as to the management of the high risk of ischemic events in such patients, are outlined. The main positions on the prevention of the risk of cardiovascular complications in patients with CAD and atherosclerosis of the peripheral arteries using a combination of the anticoagulant – rivaroxaban and the antiplatelet agent – acetylsalicylic acid, are highlighted on the basis of the results of clinical studies. Promising possibilities of using such a therapeutic approach to the management of comorbid patients in routine clinical practice are presented.
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publishDate 2020-09-01
publisher Столичная издательская компания
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series Рациональная фармакотерапия в кардиологии
spelling doaj-art-608dc734fcc9416e8a8456d9347742b12025-08-23T10:00:32ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532020-09-0116460761310.20996/1819-6446-2020-08-081776Cardiovascular Comorbidity: Patient with Coronary Artery Disease and Peripheral Artery Atherosclerosis. How to Identify and Manage the Risks of Ischemic Events?O. L. Barbarash0V. V. Kashtalap1I. A. Shibanova2Research Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesModern data on comorbidity in coronary artery disease (CAD) are presented in the article, as well as its frequency, dependence on the age, clinical and prognostic significance, and increasing relevance for practical health care. The positions of one of the components of cardiovascular comorbidity – multifocal atherosclerosis – are presented. The existing approaches to the detection and clinical assessment of multifocal atherosclerosis, as well as to the management of the high risk of ischemic events in such patients, are outlined. The main positions on the prevention of the risk of cardiovascular complications in patients with CAD and atherosclerosis of the peripheral arteries using a combination of the anticoagulant – rivaroxaban and the antiplatelet agent – acetylsalicylic acid, are highlighted on the basis of the results of clinical studies. Promising possibilities of using such a therapeutic approach to the management of comorbid patients in routine clinical practice are presented.https://www.rpcardio.online/jour/article/view/2259multifocal atherosclerosiscoronary artery diseasecomorbidityprognosisrivaroxaban
spellingShingle O. L. Barbarash
V. V. Kashtalap
I. A. Shibanova
Cardiovascular Comorbidity: Patient with Coronary Artery Disease and Peripheral Artery Atherosclerosis. How to Identify and Manage the Risks of Ischemic Events?
Рациональная фармакотерапия в кардиологии
multifocal atherosclerosis
coronary artery disease
comorbidity
prognosis
rivaroxaban
title Cardiovascular Comorbidity: Patient with Coronary Artery Disease and Peripheral Artery Atherosclerosis. How to Identify and Manage the Risks of Ischemic Events?
title_full Cardiovascular Comorbidity: Patient with Coronary Artery Disease and Peripheral Artery Atherosclerosis. How to Identify and Manage the Risks of Ischemic Events?
title_fullStr Cardiovascular Comorbidity: Patient with Coronary Artery Disease and Peripheral Artery Atherosclerosis. How to Identify and Manage the Risks of Ischemic Events?
title_full_unstemmed Cardiovascular Comorbidity: Patient with Coronary Artery Disease and Peripheral Artery Atherosclerosis. How to Identify and Manage the Risks of Ischemic Events?
title_short Cardiovascular Comorbidity: Patient with Coronary Artery Disease and Peripheral Artery Atherosclerosis. How to Identify and Manage the Risks of Ischemic Events?
title_sort cardiovascular comorbidity patient with coronary artery disease and peripheral artery atherosclerosis how to identify and manage the risks of ischemic events
topic multifocal atherosclerosis
coronary artery disease
comorbidity
prognosis
rivaroxaban
url https://www.rpcardio.online/jour/article/view/2259
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AT vvkashtalap cardiovascularcomorbiditypatientwithcoronaryarterydiseaseandperipheralarteryatherosclerosishowtoidentifyandmanagetherisksofischemicevents
AT iashibanova cardiovascularcomorbiditypatientwithcoronaryarterydiseaseandperipheralarteryatherosclerosishowtoidentifyandmanagetherisksofischemicevents