ISSN 2412-4036 (print)
ISSN 2713-1823 (online)

Применение ацетилсалициловой кислоты и ее комбинированных форм в реальной клинической практике

А.М. Борисов, А.Р. Касимова

1) ФГБУ «Национальный медицинский исследовательский центр травматологии и ортопедии им. Р.Р. Вредена» Минздрава России, г. Санкт-Петербург; 2) ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. академика И.П. Павлова» Минздрава России
Аннотация. Первое упоминание о возможности первичной профилактики инфаркта миокарда производным салицина – ацетилсалициловой кислотой (АСК) – было опубликовано еще в 1950 г. В этом специализированном обзоре представлена обновленная информация о роли АСК в первичной и вторичной профилактике сердечно-сосудистых заболеваний, а также некоторые сведения о том, в каком направлении может развиваться эта профилактика.
Цель обзора – осветить роль АСК в современной реальной клинической практике терапевта.
Материал и методы. Предложен адаптивный вариант литературного поиска, когда он осуществляется по каждому разделу обзора отдельно. В базах данных PubMed (MEDLINE), Scopus, eLibrary и Киберленинка делались поисковые запросы по следующим группам ключевых слов: *acetylsalicylic acid, *aspirin, *mechanism of action, *pharmacokinetics, *pharmacodynamics, *placebo-controlled studies, *efficiency, *safety, *combined forms, *magnesium hydroxide. В русскоязычных базах данных запрос составлялся по такому же алгоритму с использованием аналогичных терминов на русском языке. В обзор литературы вошел 61 источник.
Заключение. Учитывая большой объем доказательств эффективности и безопасности, АСК в низких дозах должна продолжать использоваться в качестве антитромботического средства для профилактики сердечно-сосудистой смертности. В современной клинической практике она вряд ли будет вытеснена доступными в настоящее время ингибиторами P2Y12 из-за неубедительной демонстрации их превосходства над АСК в низких дозах.

Ключевые слова

ацетилсалициловая кислота
острый коронарный синдром
инфаркт миокарда

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Об авторах / Для корреспонденции

Алексей Михайлович Борисов, врач – клинический фармаколог отделения клинической фармакологии ФГБУ «Национальный медицинский исследовательский центр травматологии и ортопедии им. Р.Р. Вредена» Минздрава России. Адрес: 195427, г. Санкт-Петербург, ул. Байкова, д. 8.
E-mail: amborisov@rniito.ru
ORCID: https://orcid.org/0000-0003-3449-8196. eLibrary SPIN: 2928-4410
Алина Рашидовна Касимова, к. м. н., доцент, доцент кафедры клинической фармакологии и доказательной медицины ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. академика И.П. Павлова» Минздрава России, клинический фармаколог отделения клинической фармакологии ФГБУ «Национальный медицинский исследовательский центр травматологии и ортопедии им. Р.Р. Вредена» Минздрава России. Адрес: 195427, г. Санкт-Петербург, ул. Байкова, д. 8.
E-mail: kasi-alina@yandex.ru
ORCID: https://orcid.org/0000-0001-6284-7133. Scopus ID: 57203792549. eLibrary SPIN: 3131-4385

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