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Cовременная тактика лечения больных с ишемической болезнью сердца: принцип дополнительности в терапии и новые представления о ее роли и компонентах

https://doi.org/10.15829/1560-4071-2019-11-112-121

Полный текст:

Аннотация

В статье рассматриваются современные представления о роли механической реваскуляризации миокарда  и лекарственной  противоишемической  терапии в лечении  больных со  стабильным  течением  ишемической  болезни  сердца (ИБС).  Приводятся  современные данные  о  сравнительной   эффективности противоишемических препаратов, которые стали основанием для разработки концепции “бриллиантового подхода” к лечению больных со стабильным течением ИБС, которая предлагается вместо  стандартной  тактики с использованием иерархического  подхода  к выбору противоишемических  средств. Рассматриваются  особенности   применения   противоишемических   препаратов в определенных клинических ситуациях, у больных с наиболее распространенными сопутствующими заболеваниями или осложнениями  ИБС, а также при вариантах ИБС, в развитии которых играют роль специфические патофизиологические звенья.

Об авторах

С. Р. Гиляревский
Российская медицинская академия непрерывного профессионального образования Минздрава России
Россия

Гиляревский Сергей Руджерович — доктор медицинских наук, профессор кафедры  клинической фармакологии и  терапии.

Москва.



М. В. Голшмид
Российская медицинская академия непрерывного профессионального образования Минздрава России
Россия

Кандидат медицинских наук,  доцент кафедры клинической фармакологии и терапии.

Москва.



И. М. Кузьмина
НИИ скорой помощи им. Н.В. Склифосовского, Москва
Россия

Кандидат медицинских наук,  руководитель  отделения  неотложной  кардиологии.

Москва.



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Для цитирования:


Гиляревский С.Р., Голшмид М.В., Кузьмина И.М. Cовременная тактика лечения больных с ишемической болезнью сердца: принцип дополнительности в терапии и новые представления о ее роли и компонентах. Российский кардиологический журнал. 2019;(11):112-121. https://doi.org/10.15829/1560-4071-2019-11-112-121

For citation:


Gilyarevskiy S.R., Golshmid M.V., Kuzmina I.M. Modern strategy of treating patients with coronary artery disease: complementarity principle in therapy and new ideas about its role and components. Russian Journal of Cardiology. 2019;(11):112-121. (In Russ.) https://doi.org/10.15829/1560-4071-2019-11-112-121

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