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抗血小板治疗在感染性心内膜炎中有作用吗?当前科学证据的综述。

Is there a role for antiplatelet therapy in infective endocarditis? A review of current scientific evidence.

机构信息

Division of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

出版信息

Curr Infect Dis Rep. 2010 Jul;12(4):253-6. doi: 10.1007/s11908-010-0115-2.

DOI:10.1007/s11908-010-0115-2
PMID:21308539
Abstract

Recently, interest has emerged regarding adjuvant antiplatelet therapy in infective endocarditis (IE) and its impact on clinical outcomes. Despite ongoing research, the role of antiplatelet therapy in this setting remains unclear. Generally, investigations of IE are limited by the low incidence of the disease, practical issues related to diagnosis, and the highly variable latency period between symptom onset and definitive diagnosis. This article reviews the rationale for using antiplatelet therapy in the setting of IE and the contemporary literature that investigates its use.

摘要

最近,人们对感染性心内膜炎(IE)中的辅助抗血小板治疗及其对临床结果的影响产生了兴趣。尽管在不断进行研究,但在这种情况下抗血小板治疗的作用仍不明确。一般来说,IE 的研究受到疾病发生率低、与诊断相关的实际问题以及症状发作和明确诊断之间潜伏期差异很大的限制。本文综述了在 IE 情况下使用抗血小板治疗的原理以及研究其使用的当代文献。

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本文引用的文献

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Reduced valve replacement surgery and complication rate in Staphylococcus aureus endocarditis patients receiving acetyl-salicylic acid.接受乙酰水杨酸治疗的金黄色葡萄球菌性心内膜炎患者的瓣膜置换手术及并发症发生率降低。
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Effect of long-term aspirin use on embolic events in infective endocarditis.长期使用阿司匹林对感染性心内膜炎栓塞事件的影响。
Clin Infect Dis. 2008 Jan 1;46(1):37-41. doi: 10.1086/524021.
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Impact of prior antiplatelet therapy on risk of embolism in infective endocarditis.
既往抗血小板治疗对感染性心内膜炎栓塞风险的影响。
Clin Infect Dis. 2007 May 1;44(9):1180-6. doi: 10.1086/513197. Epub 2007 Mar 14.
4
Aspirin treatment is associated with a significantly decreased risk of Staphylococcus aureus bacteremia in hemodialysis patients with tunneled catheters.在有隧道式导管的血液透析患者中,阿司匹林治疗与金黄色葡萄球菌菌血症风险显著降低相关。
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Temporal trends in infective endocarditis: a population-based study in Olmsted County, Minnesota.感染性心内膜炎的时间趋势:明尼苏达州奥尔姆斯特德县的一项基于人群的研究。
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Infective endocarditis: diagnosis, antimicrobial therapy, and management of complications: a statement for healthcare professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, and the Councils on Clinical Cardiology, Stroke, and Cardiovascular Surgery and Anesthesia, American Heart Association: endorsed by the Infectious Diseases Society of America.感染性心内膜炎:诊断、抗菌治疗及并发症管理:美国心脏协会风湿热、心内膜炎及川崎病委员会、青年心血管疾病理事会以及临床心脏病学、中风、心血管外科和麻醉理事会为医疗专业人员发布的声明:获美国传染病学会认可
Circulation. 2005 Jun 14;111(23):e394-434. doi: 10.1161/CIRCULATIONAHA.105.165564.
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A randomized trial of aspirin on the risk of embolic events in patients with infective endocarditis.一项关于阿司匹林对感染性心内膜炎患者栓塞事件风险影响的随机试验。
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Eradication of biofilm-forming Staphylococcus epidermidis (RP62A) by a combination of sodium salicylate and vancomycin.水杨酸钠与万古霉素联合根除形成生物膜的表皮葡萄球菌(RP62A)
Antimicrob Agents Chemother. 2001 Nov;45(11):3262-6. doi: 10.1128/AAC.45.11.3262-3266.2001.