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Antiplatelet Therapy in Acute Coronary Syndrome

https://doi.org/10.23934/2223-9022-2021-10-4-769-777

Abstract

Cardiovascular diseases are currently the most common causes of death worldwide, and most deaths from cardiovascular diseases are associated with coronary artery disease (CAD). CAD as a whole is a serious problem for the world’s population, and acute coronary syndrome (ACS) is associated with high morbidity, mortality and a great financial burden on the health care system. This is an urgent situation in which diagnostic and treatment measures must be performed as soon as possible from the moment of onset of the disease. Diagnosis of ACS begins with a thorough clinical assessment of the patient’s symptoms, electrocardiogram and blood troponin levels, as well as a history of the disease. Key components in the treatment of ACS include coronary revascularization when indicated and prompt initiation of adequate antiplatelet therapy. The presented literature review is devoted to the problems of adequate antiplatelet therapy in patients with ACS. 

About the Authors

I. M. Kuzmina
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Russian Federation

Candidate of Medical Sciences, Cardiologist, Head of the Scientific Department of Emergency Cardiology for  Patients with Acute Myocardial Infarction,

3 Bolshaya Sukharevskaya Square, Moscow 129090



D. S. Markhuliya
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Russian Federation

Anesthesiologist-resuscitator of the Department of Resuscitation and Intensive Care,

3 Bolshaya Sukharevskaya Square, Moscow 129090



K. A. Popugayev
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Russian Federation

Doctor of Medical Sciences, Deputy Director – Head of the Regional Vascular Center,

3 Bolshaya Sukharevskaya Square, Moscow 129090



K. V. Kiselev
Health Information and Analytical Center
Russian Federation

Senior Business Analyst, 

21 bld. 1 Krasnogvardeisky 1-y pr., Moscow 123112



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For citations:


Kuzmina I.M., Markhuliya D.S., Popugayev K.A., Kiselev K.V. Antiplatelet Therapy in Acute Coronary Syndrome. Russian Sklifosovsky Journal "Emergency Medical Care". 2021;10(4):769-777. https://doi.org/10.23934/2223-9022-2021-10-4-769-777

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ISSN 2223-9022 (Print)
ISSN 2541-8017 (Online)