Key result
Standardized guidance lacks for managing acute gastroduodenal lesions in cardiovascular patients on antithrombotic therapy.
Why the study?
Recommendations were lacking for the prevention and treatment of acute erosive-ulcerative gastroduodenal lesions and their complications in patients receiving anticoagulant and antiplatelet therapy based on clinical severity and bleeding risk.
Highlights the need for standardized risk assessment scales and evidence-based recommendations for preventing and treating gastroduodenal lesions in cardiovascular patients on antithrombotic therapy.
Aims: to draw attention to the lack of recommendations for the prevention and treatment of acute erosive-ulcerative gastroduodenal lesions and their complications associated with the severity of the patient’s condition, the massiveness of antiplatelet and anticoagulant therapy and the degree of risk of bleeding. Materials and methods: a literature review was conducted of domestic and foreign authors on the problem of pathogenesis, clinical manifestations, diagnosis, treatment and prevention of lesions of the upper gastrointestinal tract in cardiovascular diseases. Results: there are no standardized recommendations for the prevention and treatment of OEGP and their complications, taking into account the individual characteristics of the patient, based on evidence. Conclusion: it is necessary to develop a scale that assesses the risk of OEGP and gastrointestinal bleeding in cardiovascular diseases, methods of treatment and prevention of these conditions, taking into account the specific parameters of the patient.
No takes yet. Share an insight, caveat, or question.
Полянцев et al. (2020) conducted a review in Cardiovascular diseases with acute erosive-ulcerative gastroduodenal lesions. Anticoagulants and antiplatelet agents was evaluated. There is a lack of standardized evidence-based recommendations for the prevention and treatment of acute erosive-ulcerative gastroduodenal lesions in cardiovascular patients on antithrombotic therapy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: