Vasiuk Iu A, Shal'nova S A, Shkol'nik E L, Kulikov K G
Kardiologiia. 2011;51(6):11-5.
Main objective of epidemiological part of the (PRIMA) study was elucidation of special characteristics of Russian population of patients with stable angina and more precise characterization of variety and volume of drug and nondrug therapy used in patients with stable angina in Russian Federation. In clinical part of the PRIMA program we assessed efficacy and safety of standard antianginal therapy in combination with trimetazidine with modified release of active substance (MR) in standard therapeutic dose in patients with stable angina after myocardial infarction. According to results of the study prescription of trimetazidine MR was followed by improvement of clinical course of the disease. This manifested as decrease of average number of attacks per week, reduction of mean weekly consumption of short acting nitrates, improvement of quality of life, lessening of severity of main clinical manifestations of chronic heart failure, and lowering of its functional class. It is necessary to emphasize that analysis of results of the PRIMA study has revealed similar efficacy of trimetazidine MR in men and women what allows to recommend this metabolic myocardial cytoprotector to patients with ischemic heart disease irrespective of gender.
(PRIMA)研究的流行病学部分的主要目标是阐明俄罗斯稳定型心绞痛患者群体的特殊特征,并更精确地描述俄罗斯联邦稳定型心绞痛患者使用的药物和非药物治疗的种类及用量。在PRIMA项目的临床部分,我们评估了标准抗心绞痛治疗联合活性物质缓释(MR)的曲美他嗪,以标准治疗剂量用于心肌梗死后稳定型心绞痛患者的疗效和安全性。根据研究结果,使用曲美他嗪MR后疾病的临床进程得到改善。这表现为每周平均发作次数减少、短效硝酸盐平均每周消耗量降低、生活质量改善、慢性心力衰竭主要临床表现的严重程度减轻以及其功能分级降低。必须强调的是,对PRIMA研究结果的分析显示曲美他嗪MR在男性和女性中具有相似的疗效,这使得无论性别如何,都可以向缺血性心脏病患者推荐这种代谢性心肌细胞保护剂。