Elevation of cardiovascular risk by non-steroidal anti-inflammatory drugs

被引:34
作者
Anwar, Asif [1 ]
Anwar, Imran John [2 ]
Delafontaine, Patrice [3 ]
机构
[1] Tulane Univ, Sch Med, Inst Heart & Vasc, New Orleans, LA 70112 USA
[2] Tulane Univ, Sch Med, Dept Physiol, New Orleans, LA 70112 USA
[3] Univ Missouri, Sch Med, Dept Med, Columbia, MO 65212 USA
关键词
SELECTIVE CYCLOOXYGENASE-2 INHIBITORS; ACUTE MYOCARDIAL-INFARCTION; THERAPEUTIC ARTHRITIS RESEARCH; EVENT TRIAL TARGET; LOW-DOSE ASPIRIN; CYCLO-OXYGENASE-2; INHIBITORS; SUBCLINICAL ATHEROSCLEROSIS; GASTROINTESTINAL TOXICITY; RHEUMATOID-ARTHRITIS; COX-2;
D O I
10.1016/j.tcm.2015.03.006
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Non-steroidal anti-inflammatory drugs (NSAIDs) are one of the most frequently used medications. NSAIDs profoundly modify prostaglandin homeostasis through inhibition of the enzyme, cyclooxygenase (COX), especially COX-2. COX-2 inhibition is associated with adverse cardiovascular outcomes as demonstrated by recent trials using this type of drug. This review explores the latest available data, including recent, randomized, clinical trials, controversies, and pathophysiology of the adverse effects of COX-inhibition. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:726 / 735
页数:10
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