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依折麦布在心血管疾病治疗中的作用。

The Role of Ezetimibe in the Treatment of Cardiovascular Disease.

机构信息

Department of Medicine, Baylor College of Medicine, Houston, TX, 77030, USA.

Columbia University, New York, NY, 10027, USA.

出版信息

Curr Atheroscler Rep. 2016 Feb;18(2):8. doi: 10.1007/s11883-016-0560-y.

DOI:10.1007/s11883-016-0560-y
PMID:26792014
Abstract

Cardiovascular disease (CVD) is the leading cause of morbidity and mortality worldwide. Despite the success of treatment of CVD with statin therapy, a number of patients remain at high risk for CVD. Ezetimibe is a non-statin agent that inhibits intestinal cholesterol absorption, leading to reductions in low-density lipoprotein cholesterol (LDL-C). A number of clinical studies evaluating the use of ezetimibe therapy have resulted in discordant data regarding its safety and efficacy. In this review, we discuss the findings from these studies as well as potential indications for the use of ezetimibe for LDL-C lowering and cardiovascular event reduction.

摘要

心血管疾病(CVD)是全球发病率和死亡率的主要原因。尽管他汀类药物治疗 CVD 取得了成功,但仍有许多患者存在 CVD 高风险。依折麦布是一种抑制肠道胆固醇吸收的非他汀类药物,可降低低密度脂蛋白胆固醇(LDL-C)。多项评估依折麦布治疗作用的临床研究得出了关于其安全性和有效性的数据不一致。在这篇综述中,我们讨论了这些研究的结果,以及依折麦布用于降低 LDL-C 和减少心血管事件的潜在适应证。

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2
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本文引用的文献

1
Ezetimibe Added to Statin Therapy after Acute Coronary Syndromes.依折麦布联合他汀类药物治疗急性冠脉综合征。
N Engl J Med. 2015 Jun 18;372(25):2387-97. doi: 10.1056/NEJMoa1410489. Epub 2015 Jun 3.
2
Effect of naturally random allocation to lower low-density lipoprotein cholesterol on the risk of coronary heart disease mediated by polymorphisms in NPC1L1, HMGCR, or both: a 2 × 2 factorial Mendelian randomization study.自然随机分配降低低密度脂蛋白胆固醇对由NPC1L1、HMGCR或两者的多态性介导的冠心病风险的影响:一项2×2析因孟德尔随机化研究。
J Am Coll Cardiol. 2015 Apr 21;65(15):1552-61. doi: 10.1016/j.jacc.2015.02.020. Epub 2015 Mar 11.
3
Statin-associated muscle symptoms: impact on statin therapy-European Atherosclerosis Society Consensus Panel Statement on Assessment, Aetiology and Management.
他汀类药物相关肌肉症状:对他汀类药物治疗的影响——欧洲动脉粥样硬化学会关于评估、病因及管理的共识专家组声明
Eur Heart J. 2015 May 1;36(17):1012-22. doi: 10.1093/eurheartj/ehv043. Epub 2015 Feb 18.
4
Heart disease and stroke statistics--2015 update: a report from the American Heart Association.《2015年心脏病和中风统计数据更新:美国心脏协会报告》
Circulation. 2015 Jan 27;131(4):e29-322. doi: 10.1161/CIR.0000000000000152. Epub 2014 Dec 17.
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Trends in use of ezetimibe after the ENHANCE trial, 2007 through 2010.依泽替米贝在 ENHANCE 试验之后的使用趋势,2007 年至 2010 年。
JAMA Intern Med. 2014 Sep;174(9):1486-93. doi: 10.1001/jamainternmed.2014.3404.
6
Sitosterolemia: diagnosis, investigation, and management.固醇血症:诊断、检查与管理。
Curr Atheroscler Rep. 2014 Jul;16(7):424. doi: 10.1007/s11883-014-0424-2.
7
2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.2013年美国心脏病学会/美国心脏协会成人降低动脉粥样硬化性心血管风险的血胆固醇治疗指南:美国心脏病学会/美国心脏协会实践指南工作组报告
J Am Coll Cardiol. 2014 Jul 1;63(25 Pt B):2889-934. doi: 10.1016/j.jacc.2013.11.002. Epub 2013 Nov 12.
8
Ezetimibe therapy: mechanism of action and clinical update.依折麦布治疗:作用机制与临床进展
Vasc Health Risk Manag. 2012;8:415-27. doi: 10.2147/VHRM.S33664. Epub 2012 Jul 3.
9
Changes in prescription patterns before and after reporting of the Ezetimibe and Simvastatin in Hypercholesterolemia Enhances Atherosclerosis Regression trial (ENHANCE) results and expected effects on low-density lipoprotein-cholesterol reduction.依泽替米贝和辛伐他汀治疗高胆固醇血症减少动脉粥样硬化进展试验(ENHANCE)结果报告前后处方模式的变化,以及对降低低密度脂蛋白胆固醇的预期影响。
J Clin Lipidol. 2012 Mar-Apr;6(2):180-91. doi: 10.1016/j.jacl.2011.11.007. Epub 2011 Dec 7.
10
The effects of lowering LDL cholesterol with simvastatin plus ezetimibe in patients with chronic kidney disease (Study of Heart and Renal Protection): a randomised placebo-controlled trial.辛伐他汀联合依折麦布降低慢性肾脏病患者 LDL 胆固醇的效果(心脏和肾脏保护研究):一项随机安慰剂对照试验。
Lancet. 2011 Jun 25;377(9784):2181-92. doi: 10.1016/S0140-6736(11)60739-3. Epub 2011 Jun 12.