From the Brigham and Women's Hospital Heart and Vascular Center and Harvard Medical School, Boston, MA.
Arterioscler Thromb Vasc Biol. 2019 Apr;39(4):546-557. doi: 10.1161/ATVBAHA.118.310955.
Antiplatelet therapies are an essential tool to reduce the risk of developing clinically apparent atherothrombotic disease and are a mainstay in the therapy of patients who have established cardiovascular, cerebrovascular, and peripheral artery disease. Strategies to intensify antiplatelet regimens are limited by concomitant increases in clinically significant bleeding. The development of novel antiplatelet therapies targeting additional receptor and signaling pathways, with a focus on maintaining antiplatelet efficacy while preserving hemostasis, holds tremendous potential to improve outcomes among patients with atherothrombotic diseases.
抗血小板治疗是降低发生临床明显动脉粥样硬化血栓疾病风险的重要手段,也是治疗已确诊心血管、脑血管和外周动脉疾病患者的主要方法。强化抗血小板治疗方案的策略受到临床显著出血风险增加的限制。针对其他受体和信号通路的新型抗血小板治疗药物的开发,重点是在保持止血功能的同时保持抗血小板作用,为动脉粥样硬化血栓疾病患者的治疗提供了巨大的改善预后的潜力。