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迈向直接口服抗凝剂的新适应症

[Towards new indications for direct oral anticoagulants].

作者信息

Fontana Pierre, Robert-Ebadi Helia, Righini Marc

机构信息

Service d'angiologie et d'hémostase, HUG, 1211 Genève 14.

出版信息

Rev Med Suisse. 2021 Jan 13;17(720-1):20-23.

Abstract

Direct oral anticoagulants (DOAC) represent commonly prescribed drugs in everyday clinical practice for indications such as atrial fibrillation, prevention of venous thromboembolic disease (VTE) after major orthopaedic surgery, treatment of deep vein thrombosis and pulmonary embolism, and long term prevention of VTE recurrence. More recently, the efficacy of DOAC has been demonstrated in new clinical situations, such as heparin-induced thrombocytopenia, cancer-associated VTE and secondary prevention of cardiovascular events in patients with atherothrombotic arterial disease. This article's aims is to present the recent data on which these new indications are based.

摘要

直接口服抗凝剂(DOAC)是日常临床实践中常用的药物,用于治疗心房颤动、预防大型骨科手术后的静脉血栓栓塞性疾病(VTE)、治疗深静脉血栓形成和肺栓塞以及长期预防VTE复发等适应症。最近,DOAC在新的临床情况下的疗效已得到证实,如肝素诱导的血小板减少症、癌症相关的VTE以及动脉粥样硬化性动脉疾病患者心血管事件的二级预防。本文旨在介绍这些新适应症所依据的最新数据。

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