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心血管风险降低:抗血小板药物的药物治疗新进展

Cardiovascular Risk Reduction: A Pharmacotherapeutic Update for Antiplatelet Medications.

作者信息

Smith Troy J, Johnson Jessica L, Habtewold Abiy, Burmeister Melissa A

机构信息

Department of Pharmacy Practice and Administration, William Carey University School of Pharmacy, 19640 MS-67, Biloxi, MS 39532, USA.

Department of Pharmacy Practice and Administration, William Carey University School of Pharmacy, 19640 MS-67, Biloxi, MS 39532, USA.

出版信息

Crit Care Nurs Clin North Am. 2019 Mar;31(1):15-30. doi: 10.1016/j.cnc.2018.11.001. Epub 2018 Dec 21.

Abstract

This update presents evidence for new antiplatelet therapies including modified P2Y inhibitors and a new class of thromboxane antagonists. Discussed are emerging data on established antihyperlipidemic medications that support an additional antiplatelet effect. Current information about the effectiveness of several bleeding reversal agents is discussed, and the concept of personalized antiplatelet therapy, wherein selection of an antiplatelet therapy is based on genetic factors or laboratory testing that predict response to therapy and risk of adverse effects. Finally, future drug targets are introduced and drug interactions that can be leveraged to design more effective and safe antiplatelet therapies are described.

摘要

本次更新展示了新抗血小板疗法的证据,包括改良的P2Y抑制剂和一类新型血栓素拮抗剂。还讨论了关于已确立的抗高脂血症药物的新数据,这些数据支持其额外的抗血小板作用。讨论了几种出血逆转剂有效性的当前信息,以及个性化抗血小板治疗的概念,即在选择抗血小板治疗时基于预测治疗反应和不良反应风险的遗传因素或实验室检测。最后,介绍了未来的药物靶点,并描述了可用于设计更有效、更安全抗血小板疗法的药物相互作用。

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