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Clinical review: Bleeding - a notable complication of treatment in patients with acute coronary syndromes: incidence, predictors, classification, impact on prognosis, and management

机译:临床评价:出血-急性冠脉综合征患者的显着并发症:发生率,预测指标,分类,对预后的影响和管理

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This article focuses on the incidence, predictors, classification, impact on prognosis, and management of bleeding associated with the treatment of acute coronary syndrome. The issue of bleeding complications is related to the continual improvement of ischemic heart disease treatment, which involves mainly (a) the widespread use of coronary angiography, (b) developments in percutaneous coronary interventions, and (c) the introduction of new antithrombotics. Bleeding has become an important health and economic problem and has an incidence of 2.0% to 17%. Bleeding significantly influences both the short- and long-term prognoses. If a group of patients at higher risk of bleeding complications can be identified according to known risk factors and a risk scoring system can be developed, we may focus more on preventive measures that should help us to reduce the incidence of bleeding.
机译:本文重点讨论与急性冠脉综合征治疗相关的出血的发生率,预测因子,分类,对预后的影响和处理。出血并发症的问题与缺血性心脏病治疗的不断改善有关,这主要涉及(a)冠状动脉造影术的广泛使用,(b)经皮冠状动脉介入治疗的发展以及(c)引入新的抗血栓药。出血已成为重要的健康和经济问题,出血的发生率为2.0%至17%。出血严重影响短期和长期预后。如果可以根据已知的危险因素识别出一组出血并发症风险较高的患者,并且可以建立风险评分系统,那么我们可能会更多地侧重于有助于减少出血发生率的预防措施。

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