急性冠脉综合征早期他汀类药物治疗的临床试验附视频

被引:7
作者
施仲伟
机构
[1] 上海第二医科大学瑞金医院心脏科上海
关键词
急性冠脉综合征; 急性冠脉综合症; 他汀类; 药物治疗; 阿托伐他汀; 临床试验;
D O I
暂无
中图分类号
R543.5 [动脉疾病];
学科分类号
1002 ; 100201 ;
摘要
<正> 他汀类药物的调脂效应以及多方面的血管壁直接保护作用使之有可能在相对较短的时间内减慢或阻断急性不稳定冠状动脉病变的病理生理过程,因此,急性冠脉综合征早期开始他汀类药物治疗有可能减少心血管病事件,降低早期死亡率。为了使这种推测成为现实,近年来人们进行了不同类型的临床研究,现将有关试验介绍如下。1.小规模初步临床试验 土耳其的一项前瞻性试验观察150例急性心肌梗死(AMI)患者,在胸痛发生后6小时内随机分成两组(不考虑基线血脂水平),在溶栓治疗后分别给予普伐他汀治疗(40mg/d,72例)或不用任何调脂药(78例)。与对照组相比,普伐他汀组的住院期间死亡率(3%比14%,P=0.03)以及
引用
收藏
页码:383 / 385
页数:3
相关论文
共 9 条
[1]   急性冠脉综合征早期他汀类药物治疗的目的和机制 [J].
施仲伟 .
中国医药导刊, 2002, (02) :125-126+128
[2]   急性心肌梗死诊断和治疗指南 [J].
高润霖 .
中华心血管病杂志, 2001, (12) :9-24
[3]  
Effect of lipid-lowering therapy on early mortality after acute coronary syndromes: an observational study[J] . Herbert D Aronow,Eric J Topol,Matthew T Roe,Penny L Houghtaling,Katherine E Wolski,A Michael Lincoff,Robert A Harrington,Robert M Califf,E Magnus Ohman,Neal S Kleiman,Matyas Keltai,Robert G Wilcox,Alec Vahanian,Paul W Armstrong,Michael S Lauer.The Lancet . 2001 (9262)
[4]  
Effectiveness of statins in acute coronary syndromes[J] . JoAnne Micale Foody,Steven E. Nissen.The American Journal of Cardiology . 2001 (4)
[5]  
What is the role of intensive cholesterol lowering in the treatment of acute coronary syndromes?[J] . David D Waters,Priscilla Y Hsue.The American Journal of Cardiology . 2001 (7)
[6]  
Early statin therapy is associated with markedly lower mortality in patients with acute coronary syndromes: Observations from OPUS-TIMI 16[J] . Journal of the American College of Cardiology . 2001 (2)
[7]  
Highlights from the XXII Congress of the European Society of Cardiology: August 26 to 30, 2000[J] . Darren K. McGuire,J.Conor O’Shea,Christopher K. Dyke,Eric J. Velazquez,Michael P. Hudson.American Heart Journal . 2001 (1)
[8]   Beneficial effects of Pravastatin (±colestyramine/niacin) initiated immediately after a coronary event (the randomized lipid-coronary artery disease [L-CAD] study) [J].
Arntz, HR ;
Agrawal, R ;
Wunderlich, W ;
Schnitzer, L ;
Stern, R ;
Fischer, F ;
Schultheiss, HP .
AMERICAN JOURNAL OF CARDIOLOGY, 2000, 86 (12) :1293-1298
[9]  
1999 Update: ACC/AHA Guidelines for the Management of Patients With Acute Myocardial Infarction: Executive Summary and Recommendations: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Acute Myocardial Infarction)[J] . Thomas J. Ryan,Elliott M. Antman,Neil H. Brooks,Robert M. Califf,L. David Hillis,Loren F. Hiratzka,Elliot Rapaport,Barbara Riegel,Richard O. Russell,Earl E. Smith,W. Douglas Weaver,Raymond J. Gi