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心血管疾病预防研究亮点在 2020 年欧洲心脏病学会数字大会上发布:预防工作成效显著。

Highlights from Studies in Cardiovascular Disease Prevention Presented at the Digital 2020 European Society of Cardiology Congress: Prevention Is Alive and Well.

机构信息

Section of Cardiology, Baylor College of Medicine, Houston, TX, USA.

Department of Medicine, Division of Cardiology, Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

出版信息

Curr Atheroscler Rep. 2020 Oct 3;22(12):72. doi: 10.1007/s11883-020-00895-z.

Abstract

PURPOSE OF REVIEW

The review highlights selected studies related to cardiovascular disease (CVD) prevention that were presented at the 2020 European Society of Cardiology (ESC) Congress-The Digital Experience.

RECENT FINDINGS

The studies reviewed include clinical trials on novel RNA interference-based lipid-lowering therapies AKCEA-APOCIII-L and vupanorsen (AKCEA-ANGPTL3-L); the EVAPORATE trial assessing the effects of icosapent ethyl on coronary plaque volume progression; the LoDoCo2 trial evaluating the efficacy of low-dose colchicine in cardiovascular disease risk reduction among patients with chronic coronary artery disease; as well as the EMPEROR-Reduced trial evaluating cardiovascular and renal outcomes with empagliflozin in patients with heart failure and reduced ejection fraction. In addition, we review the BPLTTC analysis on blood pressure treatment across blood pressure levels and CVD status and discuss findings from the BRACE CORONA study that examined continuing versus suspending angiotensin-converting enzyme inhibitor or angiotensin receptor blockers in patients on these antihypertensive medications who were hospitalized with COVID-19 infection. The studies presented at the 2020 digital ESC Congress highlight the continuing advancements in the field of CVD prevention.

摘要

目的综述

本文重点介绍了在 2020 年欧洲心脏病学会(ESC)大会-数字体验会上展示的与心血管疾病(CVD)预防相关的精选研究。

最近的发现

综述的研究包括新型 RNA 干扰降脂疗法 AKCEA-APOCIII-L 和 vupanorsen(AKCEA-ANGPTL3-L)的临床试验;评估依折麦布对冠状动脉斑块体积进展影响的 EVAPORATE 试验;评估小剂量秋水仙碱在慢性冠状动脉疾病患者中降低心血管疾病风险的 LoDoCo2 试验;以及评估恩格列净在心衰和射血分数降低患者中的心血管和肾脏结局的 EMPEROR-Reduced 试验。此外,我们还对 BPLTTC 分析进行了血压治疗在不同血压水平和 CVD 状态下的综述,并讨论了 BRACE CORONA 研究的结果,该研究检查了 COVID-19 感染住院的使用血管紧张素转换酶抑制剂或血管紧张素受体阻滞剂的患者继续或暂停这些降压药物的治疗。2020 年数字 ESC 大会上展示的研究突出了 CVD 预防领域的持续进展。

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本文引用的文献

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Colchicine in Patients with Chronic Coronary Disease.秋水仙碱治疗慢性冠心病
N Engl J Med. 2020 Nov 5;383(19):1838-1847. doi: 10.1056/NEJMoa2021372. Epub 2020 Aug 31.
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Circulation. 2020 May 19;141(20):1648-1655. doi: 10.1161/CIRCULATIONAHA.120.046941. Epub 2020 Mar 21.
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Efficacy and Safety of Low-Dose Colchicine after Myocardial Infarction.心梗后小剂量秋水仙碱的疗效和安全性。
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