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氯吡格雷-质子泵抑制剂相互作用的临床相关性。

The clinical relevance of the clopidogrel-proton pump inhibitor interaction.

机构信息

VA North Texas Health Care System, Dallas, TX 75216, USA.

出版信息

J Cardiovasc Transl Res. 2012 Aug;5(4):547-52. doi: 10.1007/s12265-011-9334-7. Epub 2012 Feb 14.

DOI:10.1007/s12265-011-9334-7
PMID:22351048
Abstract

Proton pump inhibitors are often prescribed concomitantly with clopidogrel and aspirin to patients post-percutaneous coronary interventions and/or an acute coronary syndrome to mitigate the risk of potential gastrointestinal bleeding, associated primarily with clopidogrel use. Over the last several years, there have been data both supporting and refuting a clopidogrel-proton pump inhibitor interaction. This review critically considers the current evidence and provides practical recommendations to healthcare providers.

摘要

质子泵抑制剂常与氯吡格雷和阿司匹林同时用于经皮冠状动脉介入治疗和/或急性冠状动脉综合征患者,以降低与氯吡格雷使用相关的潜在胃肠道出血风险。在过去几年中,有数据支持和反驳氯吡格雷与质子泵抑制剂相互作用。本综述批判性地考虑了当前的证据,并为医疗保健提供者提供了实用建议。

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The clinical relevance of the clopidogrel-proton pump inhibitor interaction.氯吡格雷-质子泵抑制剂相互作用的临床相关性。
J Cardiovasc Transl Res. 2012 Aug;5(4):547-52. doi: 10.1007/s12265-011-9334-7. Epub 2012 Feb 14.
2
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本文引用的文献

1
Proton pump inhibitor use and risk of adverse cardiovascular events in aspirin treated patients with first time myocardial infarction: nationwide propensity score matched study.质子泵抑制剂的使用与首次心肌梗死阿司匹林治疗患者不良心血管事件的风险:全国倾向评分匹配研究。
BMJ. 2011 May 11;342:d2690. doi: 10.1136/bmj.d2690.
2
The influence of CYP2C19 polymorphisms on the pharmacokinetics, pharmacodynamics, and clinical effectiveness of P2Y(12) inhibitors.CYP2C19 多态性对 P2Y(12)抑制剂的药代动力学、药效学和临床疗效的影响。
Rev Cardiovasc Med. 2011;12(1):1-12. doi: 10.3909/ricm0590.
3
Pharmacodynamic evaluation of pantoprazole therapy on clopidogrel effects: results of a prospective, randomized, crossover study.
泮托拉唑治疗氯吡格雷疗效的药效学评价:一项前瞻性、随机、交叉研究的结果。
Circ Cardiovasc Interv. 2011 Jun;4(3):273-9. doi: 10.1161/CIRCINTERVENTIONS.110.960997. Epub 2011 Apr 26.
4
Clopidogrel-drug interactions.氯吡格雷药物相互作用。
J Am Coll Cardiol. 2011 Mar 15;57(11):1251-63. doi: 10.1016/j.jacc.2010.11.024.
5
Clinical events as a function of proton pump inhibitor use, clopidogrel use, and cytochrome P450 2C19 genotype in a large nationwide cohort of acute myocardial infarction: results from the French Registry of Acute ST-Elevation and Non-ST-Elevation Myocardial Infarction (FAST-MI) registry.质子泵抑制剂使用、氯吡格雷使用和细胞色素 P450 2C19 基因型与急性心肌梗死大全国队列临床事件的关系:来自法国急性 ST 段抬高和非 ST 段抬高心肌梗死(FAST-MI)注册研究的结果。
Circulation. 2011 Feb 8;123(5):474-82. doi: 10.1161/CIRCULATIONAHA.110.965640. Epub 2011 Jan 24.
6
Effect of concomitant use of clopidogrel and proton pump inhibitors after percutaneous coronary intervention.经皮冠状动脉介入治疗后氯吡格雷与质子泵抑制剂合用的效果。
Am J Cardiol. 2011 Mar 15;107(6):871-8. doi: 10.1016/j.amjcard.2010.10.073. Epub 2011 Jan 19.
7
Antiplatelet therapy: Clopidogrel-PPI interaction, an ongoing controversy.抗血小板治疗:氯吡格雷与质子泵抑制剂的相互作用,仍存争议。
Nat Rev Cardiol. 2011 Jan;8(1):7-8. doi: 10.1038/nrcardio.2010.185.
8
Concomitant use of proton pump inhibitors and clopidogrel in patients with coronary, cerebrovascular, or peripheral artery disease in the factores de Riesgo y ENfermedad Arterial (FRENA) registry.在风险和动脉疾病因素(FRENA)登记研究中,患有冠状动脉、脑血管或外周动脉疾病的患者同时使用质子泵抑制剂和氯吡格雷。
J Cardiovasc Pharmacol. 2011 Jan;57(1):13-9. doi: 10.1097/FJC.0b013e3181fc65e5.
9
Reduced-function CYP2C19 genotype and risk of adverse clinical outcomes among patients treated with clopidogrel predominantly for PCI: a meta-analysis.主要经皮冠状动脉介入治疗(PCI)使用氯吡格雷的患者中,功能降低的 CYP2C19 基因型与不良临床结局风险相关:一项荟萃分析。
JAMA. 2010 Oct 27;304(16):1821-30. doi: 10.1001/jama.2010.1543.
10
Clopidogrel with or without omeprazole in coronary artery disease.氯吡格雷联合或不联合奥美拉唑用于冠心病。
N Engl J Med. 2010 Nov 11;363(20):1909-17. doi: 10.1056/NEJMoa1007964. Epub 2010 Oct 6.