Echeverri Darío, Cabrales Jaime
Jefe del Servicio, Servicio de Hemodinamia e Intervencionismo Cardiovascular, Director del laboratorio de investigación en función vascular, Fundación Cardioinfantil Instituto de Cardiología, Bogota, Colombia.
Clin Investig Arterioscler. 2013 Jul-Aug;25(3):112-22. doi: 10.1016/j.arteri.2012.10.003. Epub 2012 Dec 13.
The inclusion of statins and stents in coronary disease management during the 1980s has marked a dramatic change in the natural history of the disease. Separately, each of these therapies have progressed rapidly and have achieved a prime position in the current armamentarium. The simultaneous use of statins in patients undergoing percutaneous coronary revascularization procedures with stent implantation has shown a significant beneficial synergistic effect by reducing ischemia and necrosis, and improving coronary blood flow in patients with stable coronary disease, as well as in acute coronary syndromes. The use of high dose statins in conjunction with coronary angioplasty with stent implantation has shown great efficacy and safety in patients with severe coronary disease.
20世纪80年代,他汀类药物和支架被纳入冠心病治疗,这标志着该疾病自然史发生了巨大变化。这两种疗法各自都取得了迅速进展,并在当前的治疗手段中占据了重要地位。在接受经皮冠状动脉血运重建术并植入支架的患者中同时使用他汀类药物,已显示出显著的有益协同效应,可减少稳定型冠心病患者以及急性冠状动脉综合征患者的缺血和坏死,改善冠状动脉血流。高剂量他汀类药物与冠状动脉血管成形术及支架植入联合使用,已在重症冠心病患者中显示出巨大的疗效和安全性。