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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mrj</journal-id><journal-title-group><journal-title xml:lang="ru">Современная ревматология</journal-title><trans-title-group xml:lang="en"><trans-title>Modern Rheumatology Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1996-7012</issn><issn pub-type="epub">2310-158X</issn><publisher><publisher-name>IMA-PRESS, LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/1996-7012-2008-469</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-154</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Варфарин в терапии антифосфолипидного синдрома</article-title><trans-title-group xml:lang="en"><trans-title>Varfarin v terapii antifosfolipidnogo sindroma</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Решетняк</surname><given-names>Т. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Reshetnyak</surname><given-names>T M</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Kondrat'eva</surname><given-names>L V</given-names></name><name name-style="western" xml:lang="en"><surname>Kondrat'eva</surname><given-names>L V</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Штивельбанд</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shtivel'band</surname><given-names>I B</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Насонов</surname><given-names>Евгений Львович</given-names></name><name name-style="western" xml:lang="en"><surname>Nasonov</surname><given-names>E L</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib></contrib-group><pub-date pub-type="collection"><year>2008</year></pub-date><pub-date pub-type="epub"><day>11</day><month>04</month><year>2008</year></pub-date><volume>2</volume><issue>2</issue><issue-title>№2 (2008)</issue-title><fpage>20</fpage><lpage>31</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Решетняк Т.М., Kondrat'eva L.V., Штивельбанд И.В., Насонов Е.Л., 2008</copyright-statement><copyright-year>2008</copyright-year><copyright-holder xml:lang="ru">Решетняк Т.М., Kondrat'eva L.V., Штивельбанд И.В., Насонов Е.Л.</copyright-holder><copyright-holder xml:lang="en">Reshetnyak T.M., Kondrat'eva L.V., Shtivel'band I.B., Nasonov E.L.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://mrj.ima-press.net/mrj/article/view/154">https://mrj.ima-press.net/mrj/article/view/154</self-uri><abstract><p>Описаны фармакокинетика, фармакодинамика и мониторинг терапии варфарином. Рассмотрены вопросы повышенной чувствительности части пациентов к варфарину, а именно ассоциация избыточной гипокоагуляции с мутациями в гене цитохрома Р450 CYP2C9*2 И CYP2C9*3. Суммированы данные литературы о применении варфарина у больных с антифосфолипидным синдромом (АФС). Представлены данные, касающиеся интенсивности антикоагулянтной терапии при АФС. Приведены рекомендации и комментарии, основанные на собственном опыте ведения больных с АФС.</p></abstract><trans-abstract xml:lang="en"><p>Opisany farmakokinetika, farmakodinamika i monitoring terapii varfarinom. Rassmotreny voprosy povyshennoy chuvstvitel'nosti chasti patsientov k varfarinu, a imenno assotsiatsiya izbytochnoy gipokoagulyatsii s mutatsiyami v gene tsitokhroma R450 CYP2C9*2 I CYP2C9*3. Summirovany dannye literatury o primenenii varfarina u bol'nykh s antifosfolipidnym sindromom (AFS). Predstavleny dannye, kasayushchiesya intensivnosti antikoagulyantnoy terapii pri AFS. Privedeny rekomendatsii i kommentarii, osnovannye na sobstvennom opyte vedeniya bol'nykh s AFS.</p></trans-abstract></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">&lt;div&gt;&lt;p&gt;Hughes G.R.V. Trombosis, abortion, cerebral disease and lupus anticoagulant. BMJ 1983; 187: 1088-89.&lt;/p&gt;&lt;p&gt;Hughes G.R.V., Harris E.N., Charavi A.E. The anti-cardiolipin syndrome. J. Rheumatol 1986; 13: 486-9.&lt;/p&gt;&lt;p&gt;Насонов Е.Л. Антифосфолипидный синдром: клиническая и иммунологическая характеристика. Клин мед 1989; 1: 5-13.&lt;/p&gt;&lt;p&gt;Насонов Е.Л. Антифосфолипидный синдром. М.: Литтерра 2004; 379.&lt;/p&gt;&lt;p&gt;Алекберова З.С., Решетняк Т.М., Кошелева Н.М. и др. Антифосфолипидный синдром при системной красной волчанке: оценка диагностических и классификационных критериев. Клин мед 1996; 6: 39-42.&lt;/p&gt;&lt;p&gt;Asherson R.A., Baguley E., Hughes G.R.V. 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Клин мед 1989; 1: 5-13.&lt;/p&gt;&lt;p&gt;Насонов Е.Л. Антифосфолипидный синдром. М.: Литтерра 2004; 379.&lt;/p&gt;&lt;p&gt;Алекберова З.С., Решетняк Т.М., Кошелева Н.М. и др. Антифосфолипидный синдром при системной красной волчанке: оценка диагностических и классификационных критериев. Клин мед 1996; 6: 39-42.&lt;/p&gt;&lt;p&gt;Asherson R.A., Baguley E., Hughes G.R.V. Antiphospholipid syndrome: five years follow-up. Ann Rheum Dis 1991; 50: 805-10.&lt;/p&gt;&lt;p&gt;Myakis S., Lockshin M.D., Atsumi T. et al. International consensus statement on an update of the classification criteria for definite antiphospho-lipid syndrome. J Thromb Haemost 2006; 4: 295-306.&lt;/p&gt;&lt;p&gt;Wood A. Drug therapy. N Engl J Med 1994; 330: 1287-93.&lt;/p&gt;&lt;p&gt;Rosove M.H., Brewer PM.C. Antiphospholipid thrombosis: dinical course after the first thrombotic event in 70 patients. Ann Int Med 1992; 117: 303-8.&lt;/p&gt;&lt;p&gt;Derksen R.H.W.M., de Groot Ph.G., Kater L. et al. Patients with antiphospholipid antibodies and venous thrombosis should receive long term anticoagulant treatment. Ann Rheum Dis 1993; 52: 689-92.&lt;/p&gt;&lt;p&gt;Khamashta M.A., Cuadrado M.J., Mujic F et al. The management of thrombosis in the antiphospholipid-antibody syndrome. N Engl J Med 1995; 332: 993-7.&lt;/p&gt;&lt;p&gt;Krnic-Barrie S., O'Connor C.R., Looney S.W et al. A retrospective review of 61 patients with antiphospholipid syndrome. Analysis of influencing recurrent thrombosis. Arch Intern Med 1997; 157:2101-08.&lt;/p&gt;&lt;p&gt;Linkins L.A., Weitz J.I. New anticoagulants. Semin Thromb Hemost 2003; 29: 619-31.&lt;/p&gt;&lt;p&gt;Лечение оральными антикоагулянтами. Рекомендации Всероссийской ассоциации по изучению тромбозов, геморрагий и патологии сосудов им. А.А. Шмидта - Б.А. Кудряшова. М.: РКИ Соверо пресс 2002; 36 с.&lt;/p&gt;&lt;p&gt;Лечение оральными антикоагулянтами. 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