Pauly Daniel F, Pepine Carl J
University of Florida College of Medicine, Division of Cardiovascular Medicine, Gainesville, Florida 32610, USA.
Clin Cardiol. 2004 Aug;27(8):439-41. doi: 10.1002/clc.4960270802.
The number of patients with coronary artery disease and its risk factors is increasing in Western nations. New treatments for these patients may soon include a class of agents known as the metabolic modulators. This group of agents consists of the partial fatty acid oxidation inhibitors trimetazidine and ranolazine, as well as dichloroacetate, which promotes carbohydrate utilization. Metabolic modulators also include the nutriceuticals L-carnitine and D-ribose. The available evidence regarding the benefits of each of these five agents is reviewed.
在西方国家,患有冠状动脉疾病及其风险因素的患者数量正在增加。针对这些患者的新治疗方法可能很快会包括一类被称为代谢调节剂的药物。这类药物包括部分脂肪酸氧化抑制剂曲美他嗪和雷诺嗪,以及促进碳水化合物利用的二氯乙酸。代谢调节剂还包括营养保健品L-肉碱和D-核糖。本文综述了关于这五种药物各自益处的现有证据。