thealthЗдравоохранение ТаджикистанаHealth care of Tajikistan0514-2415Редакция журнала «Здравоохранение Таджикистана»10.52888/0514-2515-2022-354-3-119-127thealth-394Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWВыбор современной стратегии лечения острого коронарного синдрома с подъемом сегмента STSelection of a modern strategy for the treatment of acute coronary syndrome with elevated ST segmentШукуроваС. М.ShukurovaS. M.

Шукурова Сурайё Максудовна - доктор медицинских наук, профессор, член-корр. НАНТ, заведующая кафедрой терапии и кардио-ревматологии ГОУ ИПОвСЗ РТ

Shukurova Surayo Maksudovna - Doctor of Medical Sciences, Corresponding Member of the National Academy of Sciences of Tajikistan, professor, head of the department of therapy and cardio-rheumatology of the Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan

КабирзодаР. Х.KabirzodaR. H.

Кафедра терапии и кардио-ревматологии

Department of therapy and cardio-rheumatology

РаджабоваГ. М.RadzhabovaG. M.

Кафедра терапии и кардио-ревматологии

Department of therapy and cardio-rheumatology

РахматуллоевХ. Ф.RakhmatulloevH. F.

Кафедра терапии и кардио-ревматологии

Department of therapy and cardio-rheumatology

ФайзуллоевА. И.FaizulloevA. I.

Кафедра терапии и кардио-ревматологии

Department of therapy and cardio-rheumatology

ГОУ «Институт последипломного образования в сфере здравоохранения Республики Таджикистан»ТаджикистанSEI Institute of Postgraduate Education in Health Sphere of Republic of TajikistanTajikistan20221311202203119127Copyright © Шукурова С.М., Кабирзода Р.Х., Раджабова Г.М., Рахматуллоев Х.Ф., Файзуллоев А.И., 20222022Шукурова С.М., Кабирзода Р.Х., Раджабова Г.М., Рахматуллоев Х.Ф., Файзуллоев А.И.Shukurova S.M., Kabirzoda R.H., Radzhabova G.M., Rakhmatulloev H.F., Faizulloev A.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.zdrav.tj/jour/article/view/394

Представленный обзор базируется на анализе современных литературных данных об остром коронарном синдроме: определение, эпидемиология, классификация и методы современной терапии. В статье подробно представлены медикаментозные и реперфузионные стратегии введения с акцентом на дифференциальный подход в выборе терапии в зависимости от состояния сегмента ST. По данным литературы выбор лечения отличается у пациентов с острым коронарным синдромом с подъемом сегмента ST. Представлены результаты многоцентровых исследований по использованию антикоагулянтной терапии при остром коронарном исндроме, а также необходимость двойной антикоагулянтной терапии на фоне применения статинов, ингибиторов ангиотензинпреврашающего фермента и бета-блокаторов.

The review is based on the analysis of current literature data on acute coronary syndrome (ACS): definition, epidemiology, classification, and methods of modern therapy methods. The article presents in detail the premedication and reperfusion strategies of introduction with an emphasis on a differential approach in the choice of therapy depending on the state of the ST-segment elevation. According to the literature the choice of treatment differs in patients with ACS with ST. The results of multicenter studies on the use of anticoagulant therapy in ACS and the need for double anticoagulant therapy against the background of the use of statins, ACE inhibitors, and beta blockers are presented.

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The authors declare that there are no conflicts of interest present.