Anticoagulantes orales directos: monitorización y reversión, dos grandes dificultades

dc.contributor.advisorGonzález Aguirre, Irene
dc.contributor.advisorIglesias Acosta, Jesús
dc.contributor.authorCarrillo Navarro, María Claudia
dc.contributor.authorGuerrero García, Augusto Santiago
dc.coverage.spatialBarranquillaspa
dc.creator.emailmariaclaudia_2401@yahoo.es, asguerrero2013@gmail.com
dc.creator.emailmariaclaudia_2401@yahoo.esSPA
dc.creator.emailasguerrero2013@gmail.com SeccionalSPA
dc.date.accessioned2017-07-26T19:02:54Z
dc.date.available2017-07-26T19:02:54Z
dc.date.created2016
dc.description.abstractLa tromboembolia representa una importante causa de morbimortalidad, siendo la anticoagulación el pilar del tratamiento. Los anticoagulantes orales directos, constituyen una opción que supera algunos de los inconvenientes con warfarina, como la monitorización rutinaria. No obstante con su inclusión en la práctica clínica, surgieron otras limitaciones: la dificultad para su medición cuando se requiere, debido a la poca disponibilidad y estandarización de pruebas hemostáticas; y la falta de antídotos para reversión, frente a hemorrágicas severas. Sin embargo recientemente fue aprobado idarucizumab, un anticuerpo monoclonal que neutraliza al dabigatrán, no disponible en Colombia. Se concluye que estos fármacos, son una opción atractiva, que requieren el desarrollo de pruebas diagnósticas y agentes de reversión específicos accesibles. Se realizó una búsqueda en bases de datos como Pubmed, Clinical Key, Embase, Evidence- Based MEDICINE, con las palabras clave dabigatrán, rivaroxabán, apixabán, monitorización, sangrado. Se incluyó literatura en idioma inglés y español entre 1998-2016.spa
dc.description.abstractThromboembolism is a major cause of morbidity and mortality, with anticoagulation being the mainstay of treatment. The direct oral anticoagulants are an option to overcome some of the drawbacks of warfarin, such as routine monitoring. Nevertheless, new constraints have emerged by their inclusion in clinical practice: the difficulty in measuring, due to the limited availability and standardization of hemostatic tests; and the lack of antidotes for reversal, to deal with severe bleeding. However, idarucizumab was recently approved, it’s a monoclonal antibody that neutralizes dabigatran, but is not available in Colombia. We concluded that these drugs are an attractive option, which require the development of diagnostic tests and available specific reversal agents. We made the research on databases such as Pubmed, Clinical Key, Embase, Evidence-Based Medicine, with keywords dabigatran, rivaroxaban, apixaban, monitoring, bleeding. We include the literature in English and Spanish language between 1998 and 2016.Eng
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dc.identifier.instnameinstname:Universidad Librespa
dc.identifier.reponamereponame:Repositorio Institucional Universidad Librespa
dc.identifier.urihttps://hdl.handle.net/10901/10236
dc.language.isospa
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenseAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.subjectAnticoagulantesspa
dc.subjectTromboemboliaspa
dc.subjectTromboemboliaspa
dc.subjectTromboemboliaspa
dc.subjectMedicamentosspa
dc.subject.lembHEMORRAGIAspa
dc.subject.lembDABIGATRÁNspa
dc.subject.lembRIVAROXABÁNspa
dc.subject.lembAPIXABÁNspa
dc.subject.proposalDabigatránspa
dc.subject.proposalRivaroxabánspa
dc.subject.proposalApixabánspa
dc.subject.proposalMonitorizaciónspa
dc.subject.proposalSangradospa
dc.subject.subjectenglishDabigatraneng
dc.subject.subjectenglishRivaroxabaneng
dc.subject.subjectenglishApixabaneng
dc.subject.subjectenglishMonitoringeng
dc.subject.subjectenglishBleedingeng
dc.titleAnticoagulantes orales directos: monitorización y reversión, dos grandes dificultadesspa
dc.type.coarhttp://purl.org/coar/resource_type/c_7a1fspa
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.driverinfo:eu-repo/semantics/bachelorThesisspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.type.localTesis de Especializaciónspa

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