2019, Número 2
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Rev Hematol Mex 2019; 20 (2)
Vigilancia de laboratorio de los anticoagulantes orales directos
Echenagucia-Echenagucia M
Idioma: Español
Referencias bibliográficas: 22
Paginas: 86-95
Archivo PDF: 298.45 Kb.
RESUMEN
La búsqueda del anticoagulante ideal está orientada a obtener fármacos seguros en
su mecanismo de acción, de fácil administración, idealmente con formulación oral,
prescritos a dosis fija con efecto predecible e inicio de acción más rápido, con la
menor cantidad de efectos secundarios y sin interacciones con otros medicamentos o
mecanismos bioquímicos naturales, lo que da lugar al desarrollo de los anticoagulantes
orales directos. Esta revisión está centrada en la vigilancia de este tipo de anticoagulantes,
por lo que se hace hincapié en cómo orientar la vigilancia, los requerimientos,
los métodos utilizados, así como estrategias alternativas para conseguirlo. Por último,
cada laboratorio debe tener conocimiento del efecto del anticoagulante oral directo en
su sistema de reactivo, a través de revisiones en la bibliografía o muestras de pacientes
y debe usar calibradores comerciales y controles con cuidado.
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