他汀在女性心血管疾病一级预防中的作用

被引:4
作者
叶平
周必业
机构
[1] 解放军总医院
关键词
女性; 心血管病; 一级预防; 他汀;
D O I
暂无
中图分类号
R54 [心脏、血管(循环系)疾病];
学科分类号
1002 ; 100201 ;
摘要
冠心病是发达国家男性和女性的首要死亡原因。低密度脂蛋白胆固醇(LDL-C)升高是重要、独立的心血管危险因素。他汀能够有效地降低LDL-C水平,能够减少心血管发病率和病死率,他汀是冠心病预防策略必不可少的组成部分。但女性患者在一级和二级预防中,他汀处方使用明显不足。一度认为对于女性心脏病的预防,尤其是未诊断为冠心病的女性,无证据证明使用他汀能获益。现回顾他汀在预防女性冠心病中的作用。累积的证据显示,在一些研究中,女性受试者代表性不足,后续统计分析有限。目前的指南对于血管性疾病建议无论男性和女性,血脂异常的处理策略相似。因此,他汀治疗对于男性和女性标准一致,目标也一致。
引用
收藏
页码:152 / 154
页数:3
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