Perioperative Management of Patients Receiving Antithrombotic Therapy in Schemes and Algorithms
Currently, antithrombotic therapy is the basis of the pathogenetic treatment of many cardiovascular diseases, such as coronary heart disease, stroke, peripheral vascular disease, as well as mechanical heart valves, heart rhythm disturbances, venous thromboembolism. At the same time, chronic use of a...
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| Format: | Article |
| Language: | English |
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Столичная издательская компания
2023-01-01
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| Series: | Рациональная фармакотерапия в кардиологии |
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| Online Access: | https://www.rpcardio.online/jour/article/view/2861 |
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| author | O. N. Dzhioeva E. A. Rogozhkina O. M. Drapkina |
| author_facet | O. N. Dzhioeva E. A. Rogozhkina O. M. Drapkina |
| author_sort | O. N. Dzhioeva |
| collection | DOAJ |
| description | Currently, antithrombotic therapy is the basis of the pathogenetic treatment of many cardiovascular diseases, such as coronary heart disease, stroke, peripheral vascular disease, as well as mechanical heart valves, heart rhythm disturbances, venous thromboembolism. At the same time, chronic use of antiplatelet and/or anticoagulant drugs is a complicating factor in invasive and surgical procedures, as it increases the risk of bleeding. In this regard, a fundamentally important and complex question arises: how to minimize the risk of periprocedural bleeding without exposing the patient to an increased risk of ischemic and thromboembolic complications? Perioperative management of patients who take antithrombotic drugs for a long time is a complex problem that depends on many factors - the risk of surgery, anesthesia, cardiovascular risks, and the urgency of surgery. Each clinical situation should be assessed individually, collegially, with the participation of surgeons, anesthesiologists, and therapists. The introduction of a checklist into clinical practice for each planned surgical patient will allow us to calculate the individual risk of bleeding and thromboembolic complications, and provide an optimal preventive strategy for perioperative management of the patient. The algorithms and schemes presented in the article for the perioperative management of patients with non-cardiac interventions are aimed at standardizing the management of patients before non-cardiac surgical interventions, which will reduce hemorrhagic risks in the presence of the necessary antithrombotic therapy. |
| format | Article |
| id | doaj-art-d1fe3d6926024ebda3c06b774f84643d |
| institution | Kabale University |
| issn | 1819-6446 2225-3653 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Столичная издательская компания |
| record_format | Article |
| series | Рациональная фармакотерапия в кардиологии |
| spelling | doaj-art-d1fe3d6926024ebda3c06b774f84643d2025-08-23T10:00:35ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532023-01-0118671772610.20996/1819-6446-2022-12-122086Perioperative Management of Patients Receiving Antithrombotic Therapy in Schemes and AlgorithmsO. N. Dzhioeva0E. A. Rogozhkina1O. M. Drapkina2National Medical Research Center for Therapy and Preventive Medicine; A.I. Yevdokimov Moscow State University of Medicine and DentistryNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive Medicine; A.I. Yevdokimov Moscow State University of Medicine and DentistryCurrently, antithrombotic therapy is the basis of the pathogenetic treatment of many cardiovascular diseases, such as coronary heart disease, stroke, peripheral vascular disease, as well as mechanical heart valves, heart rhythm disturbances, venous thromboembolism. At the same time, chronic use of antiplatelet and/or anticoagulant drugs is a complicating factor in invasive and surgical procedures, as it increases the risk of bleeding. In this regard, a fundamentally important and complex question arises: how to minimize the risk of periprocedural bleeding without exposing the patient to an increased risk of ischemic and thromboembolic complications? Perioperative management of patients who take antithrombotic drugs for a long time is a complex problem that depends on many factors - the risk of surgery, anesthesia, cardiovascular risks, and the urgency of surgery. Each clinical situation should be assessed individually, collegially, with the participation of surgeons, anesthesiologists, and therapists. The introduction of a checklist into clinical practice for each planned surgical patient will allow us to calculate the individual risk of bleeding and thromboembolic complications, and provide an optimal preventive strategy for perioperative management of the patient. The algorithms and schemes presented in the article for the perioperative management of patients with non-cardiac interventions are aimed at standardizing the management of patients before non-cardiac surgical interventions, which will reduce hemorrhagic risks in the presence of the necessary antithrombotic therapy.https://www.rpcardio.online/jour/article/view/2861anticoagulant therapyantiplatelet therapyinterruption of antithrombotic therapybridge therapynon-cardiac surgery |
| spellingShingle | O. N. Dzhioeva E. A. Rogozhkina O. M. Drapkina Perioperative Management of Patients Receiving Antithrombotic Therapy in Schemes and Algorithms Рациональная фармакотерапия в кардиологии anticoagulant therapy antiplatelet therapy interruption of antithrombotic therapy bridge therapy non-cardiac surgery |
| title | Perioperative Management of Patients Receiving Antithrombotic Therapy in Schemes and Algorithms |
| title_full | Perioperative Management of Patients Receiving Antithrombotic Therapy in Schemes and Algorithms |
| title_fullStr | Perioperative Management of Patients Receiving Antithrombotic Therapy in Schemes and Algorithms |
| title_full_unstemmed | Perioperative Management of Patients Receiving Antithrombotic Therapy in Schemes and Algorithms |
| title_short | Perioperative Management of Patients Receiving Antithrombotic Therapy in Schemes and Algorithms |
| title_sort | perioperative management of patients receiving antithrombotic therapy in schemes and algorithms |
| topic | anticoagulant therapy antiplatelet therapy interruption of antithrombotic therapy bridge therapy non-cardiac surgery |
| url | https://www.rpcardio.online/jour/article/view/2861 |
| work_keys_str_mv | AT ondzhioeva perioperativemanagementofpatientsreceivingantithrombotictherapyinschemesandalgorithms AT earogozhkina perioperativemanagementofpatientsreceivingantithrombotictherapyinschemesandalgorithms AT omdrapkina perioperativemanagementofpatientsreceivingantithrombotictherapyinschemesandalgorithms |