7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 1/47
TERAPIA ANTITROMBOTICA,FIBRINOLITICA IN PATOLOGIACARDIOVASCULARA
Prof. Dr. Doina Dimulescu
SUU Elias Bucuresti
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 2/47
Van de Werf, F. Eur Heart J 2009 0!"#9$%"&02
'era(ia antitrom)otica inS*+
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 3/47
Tromboza mediata depa!"ete
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 4/47
Me!a#i$m% de a!ti%#e a a$piri#ei
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 5/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 6/47
Me!a#i$m% de a!ti%#e a i#"ibitorior dere!eptor P&'(&
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 7/47
Fibri#oiti!ee
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 8/47
Terapia a#tipa!"etara i#SCA
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 9/47
Terapia a#ti!oa)%a#ta i# PCI primara
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 10/47
ASA in IMA cu fibrinoliza
ISIS-2
Lancet 1988
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 11/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 12/47
SCA *a)oritm dia)#o$ti!i#itia
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 13/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 14/47
STEMI *tra#$+er !atre %#itatie !apabie dePCI primara
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 15/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 16/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 17/47
Fibri#oiza pre$pita
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 18/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 19/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 20/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 21/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 22/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 23/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 24/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 25/47
Re-a$!%arizarea i# STEMI. PCI -$/bri#oiza
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 26/47
PCI -$ /bri#oiza i# STEMI
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 27/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 28/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 29/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 30/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 31/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 32/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 33/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 34/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 35/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 36/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 37/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 38/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 39/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 40/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 41/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 42/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 43/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 44/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 45/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 46/47
7/21/2019 CursurgenteTerapia Antitrombotica, Fibrinolitica in Patologia Cardiovasculara
http://slidepdf.com/reader/full/cursurgenteterapia-antitrombotica-fibrinolitica-in-patologia-cardiovasculara 47/47