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[心血管预防在老年人中还有实际意义吗?聚焦抗血小板和降脂药物]

[Is there still an actual place for cardiovascular prevention in the elderly? Focus on antiplatelet and lipid lowering agents].

作者信息

Radermecker R R, Lancellotti P

出版信息

Rev Med Liege. 2014 May-Jun;69(5-6):318-22.

Abstract

The increase in life expectancy raises the difficult question of the most appropriate preventive medical therapy in the elderly. Indeed, beyond physiological age, comorbidities, contraindications and life expectancy should be considered before starting any treatment. Cardiovascular disease remains the leading cause of death in our country, especially in the elderly. A preventive treatment aiming at controlling cardiovascular risk factors should be initiated based on the currently available evidence. We shall briefly discuss the value of cardiovascular prevention in the elderly and specifically focus on the use (or not) of antiplatelet agents and lipid-lowering drugs (i.e. statins).

摘要

预期寿命的增加提出了关于老年人最合适的预防性医学治疗这一难题。确实,除了生理年龄外,在开始任何治疗前都应考虑合并症、禁忌症和预期寿命。心血管疾病仍然是我国的主要死因,尤其是在老年人中。应根据现有证据启动旨在控制心血管危险因素的预防性治疗。我们将简要讨论老年人心血管预防的价值,并特别关注抗血小板药物和降脂药物(即他汀类药物)的使用(或不使用)情况。

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