Tom 15, Nr 1 (2020)
Artykuł przeglądowy
Opublikowany online: 2020-02-27
Nowe spojrzenie na leczenie przeciwkrzepliwe u pacjentów z chorobą nowotworową w dobie NOAC
DOI: 10.5603/FC.2020.0005
Folia Cardiologica 2020;15(1):19-26.
Streszczenie
Choroba nowotworowa jest stanem związanym z nadkrzepliwością wymagającą terapii przeciwzakrzepowej. Dotychczas u pacjentów z chorobami onkologicznymi stosowano heparyny i antagonistów witaminy K. Obecnie coraz szerzej stosuje się leki z grupy doustnych antykoagulantów niebędących antagonistami witaminy K (NOAC). Na podstawie aktualnego stanu wiedzy należy stwierdzić, że leki z tej grupy mogą być wyborem w leczeniu przeciwkrzepliwym pacjentów z chorobami onkologicznymi przy zachowaniu pewnej ostrożności, tj. po ocenie ryzyka krwawienia oraz analizie stosunku ryzyka do korzyści leczenia przeciwzakrzepowego, a także interakcji leków onkologicznych z lekami z grupy NOAC.
Słowa kluczowe: choroba nowotworowaleczenie przeciwkrzepliwedoustne antykoagulanty niebędące antagonistami witaminy K
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