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本文引用的文献

1
Association of Cardiovascular Disease With Coronavirus Disease 2019 (COVID-19) Severity: A Meta-Analysis.心血管疾病与 2019 年冠状病毒病(COVID-19)严重程度的关联:一项荟萃分析。
Curr Probl Cardiol. 2020 Aug;45(8):100617. doi: 10.1016/j.cpcardiol.2020.100617. Epub 2020 Apr 28.
2
Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial.羟氯喹和阿奇霉素治疗 COVID-19:一项开放标签非随机临床试验的结果。
Int J Antimicrob Agents. 2020 Jul;56(1):105949. doi: 10.1016/j.ijantimicag.2020.105949. Epub 2020 Mar 20.
3
A Trial of Lopinavir-Ritonavir in Adults Hospitalized with Severe Covid-19.洛匹那韦-利托那韦治疗成人重症 COVID-19 患者的临床试验。
N Engl J Med. 2020 May 7;382(19):1787-1799. doi: 10.1056/NEJMoa2001282. Epub 2020 Mar 18.
4
The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak - an update on the status.2019 冠状病毒病(COVID-19)疫情的起源、传播和临床治疗——现状更新。
Mil Med Res. 2020 Mar 13;7(1):11. doi: 10.1186/s40779-020-00240-0.
5
Clinical predictors of mortality due to COVID-19 based on an analysis of data of 150 patients from Wuhan, China.基于对来自中国武汉的150名患者数据的分析得出的COVID-19相关死亡的临床预测因素。
Intensive Care Med. 2020 May;46(5):846-848. doi: 10.1007/s00134-020-05991-x. Epub 2020 Mar 3.
6
A Randomized, Controlled Trial of Ebola Virus Disease Therapeutics.埃博拉病毒病治疗的随机、对照试验。
N Engl J Med. 2019 Dec 12;381(24):2293-2303. doi: 10.1056/NEJMoa1910993. Epub 2019 Nov 27.
7
Cardiac Complications Attributed to Chloroquine and Hydroxychloroquine: A Systematic Review of the Literature.氯喹和羟氯喹相关的心脏并发症:文献系统综述。
Drug Saf. 2018 Oct;41(10):919-931. doi: 10.1007/s40264-018-0689-4.
8
QTc interval prolongation during favipiravir therapy in an Ebolavirus-infected patient.埃博拉病毒感染患者接受法匹拉韦治疗期间的QTc间期延长
PLoS Negl Trop Dis. 2017 Dec 28;11(12):e0006034. doi: 10.1371/journal.pntd.0006034. eCollection 2017 Dec.
9
Use of azithromycin and risk of ventricular arrhythmia.阿奇霉素的使用与室性心律失常风险
CMAJ. 2017 Apr 18;189(15):E560-E568. doi: 10.1503/cmaj.160355.
10
Azithromycin Causes a Novel Proarrhythmic Syndrome.阿奇霉素会引发一种新型的心律失常综合征。
Circ Arrhythm Electrophysiol. 2017 Apr;10(4). doi: 10.1161/CIRCEP.115.003560.

潜在治疗 2019 年冠状病毒病药物的心血管安全性。

Cardiovascular Safety of Potential Drugs for the Treatment of Coronavirus Disease 2019.

机构信息

Jersey City Medical Center, Jersey City, New Jersey.

Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

出版信息

Am J Cardiol. 2020 Aug 1;128:147-150. doi: 10.1016/j.amjcard.2020.04.054. Epub 2020 May 16.

DOI:10.1016/j.amjcard.2020.04.054
PMID:32425199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7228893/
Abstract

Coronavirus disease 2019 (COVID-19) has become a global pandemic. It is still uncontrolled in most countries and no therapies are currently available. Various drugs are under investigation for its treatment. The disease is known to have worse outcomes in patients who have underlying cardiovascular disease. Chloroquine/hydroxychloroquine, azithromycin, remdesivir and lopinavir/ritonavir are currently being studied in trials and show some promise. Conduction disorders, heart failure, and mortality have been reported with the use of these drugs. It is important to have knowledge of potential cardiotoxic effects of these drugs before using them for COVID-19 patients for better allocation of healthcare resources and improvement in clinical outcomes.

摘要

2019 年冠状病毒病(COVID-19)已成为全球性大流行疾病。在大多数国家仍未得到控制,目前尚无特效疗法。目前正在研究各种药物来治疗该病。已知患有心血管疾病等基础疾病的患者预后更差。氯喹/羟氯喹、阿奇霉素、瑞德西韦和洛匹那韦/利托那韦目前正在临床试验中,显示出一定的前景。这些药物的使用与传导障碍、心力衰竭和死亡率有关。在将这些药物用于 COVID-19 患者之前,了解这些药物的潜在心脏毒性作用非常重要,这有助于更好地分配医疗资源和改善临床结果。