Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH 44195, USA.
Cleve Clin J Med. 2010 Mar;77(3):191-4. doi: 10.3949/ccjm.77a.09077.
Analysis of a secondary end point of the JUPITER trial (Justification for the Use of Statins in Prevention: an Intervention Trial Evaluating Rosuvastatin) found that a statin reduced the risk of venous thromboembolism (VTE) in apparently healthy people with high levels of C-reactive protein and normal levels of low-density lipoprotein cholesterol (N Engl J Med 2009; 360:1851-1861). Still, pending more study, statins should not be substituted for proven prophylaxis and anticoagulation, especially for patients with recurrent deep venous thrombosis, hospitalized patients, postoperative patients, and other patients prone to VTE.
JUPITER 试验的次要终点分析(他汀类药物在预防中的应用:评价瑞舒伐他汀的干预试验)发现,在 C 反应蛋白水平高且低密度脂蛋白胆固醇水平正常的貌似健康人群中,他汀类药物降低了静脉血栓栓塞(VTE)的风险(N Engl J Med 2009; 360:1851-1861)。不过,在进一步研究之前,他汀类药物不应替代已证实的预防和抗凝治疗,特别是对于复发性深静脉血栓形成、住院患者、术后患者和其他易发生 VTE 的患者。