Tom 15, Nr 1 (2020)
NIEWYDOLNOŚĆ SERCA
Opublikowany online: 2020-06-30
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Potencjał prozakrzepowy pacjentów z zaostrzeniem przewlekłej niewydolności serca bez współistniejącego migotania przedsionków. Aktualny stan wiedzy i potencjalne implikacje kliniczne.
Kardiol Inwazyjna 2020;15(1):28-32.
Streszczenie
Wraz z narastającą liczbą pacjentów cierpiących na przewlekłą niewydolność serca (HF), coraz istotniejszym zagadnieniem staje się zapobieganie niekorzystnym następstwom HF. W ostatnich latach wykazano zwiększone ryzyko zakrzepowo-zatorowe, w tym ryzyko udaru niedokrwiennego mózgu również u pacjentów z HF bez migotania przedsionków. Jak udowodniono w przebiegu przewlekłej HF dochodzi do zaburzenia każdej składowej triady Virchowa. W tym opracowaniu zostaną przedstawione patofizjologiczne mechanizmy nadkrzepliwości w HF, dostępne badania dotyczące ryzyka zdarzeń zakrzepowo-zatorowych oraz ich możliwej profilaktyki. Rozważymy również potencjalne nowe modele oceny ryzyka wśród tych pacjentów.
Słowa kluczowe: niewydolność sercarytm zatokowyudar niedokrwienny mózguleczenie przeciwzakrzepoweprofilaktyka
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