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[Effect of delay statins withdrawal during admission in medical units].[住院期间延迟停用他汀类药物的影响]
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本文引用的文献

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Hospital mortality in COVID-19 patients in Belgium treated with statins, ACE inhibitors and/or ARBs.比利时 COVID-19 患者在使用他汀类药物、ACE 抑制剂和/或 ARBs 治疗后的住院死亡率。
Hum Vaccin Immunother. 2021 Sep 2;17(9):2841-2850. doi: 10.1080/21645515.2021.1920271. Epub 2021 May 28.
2
Prior Treatment with Statins is Associated with Improved Outcomes of Patients with COVID-19: Data from the SEMI-COVID-19 Registry.他汀类药物预先治疗与 COVID-19 患者的改善结局相关:来自 SEMI-COVID-19 登记处的数据。
Drugs. 2021 Apr;81(6):685-695. doi: 10.1007/s40265-021-01498-x. Epub 2021 Mar 29.
3
Association between antecedent statin use and decreased mortality in hospitalized patients with COVID-19.COVID-19 住院患者中使用他汀类药物前史与死亡率降低的关联。
Nat Commun. 2021 Feb 26;12(1):1325. doi: 10.1038/s41467-021-21553-1.
4
Characteristics of clinical trials evaluating cardiovascular therapies for Coronavirus Disease 2019 Registered on ClinicalTrials.gov: a cross sectional analysis.评价在 ClinicalTrials.gov 上注册的心血管治疗 COVID-19 的临床试验特征:一项横断面分析。
Am Heart J. 2021 Feb;232:105-115. doi: 10.1016/j.ahj.2020.10.065. Epub 2020 Oct 26.
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Managing hyperlipidaemia in patients with COVID-19 and during its pandemic: An expert panel position statement from HEART UK.管理 COVID-19 患者和大流行期间的高脂血症:来自英国心脏协会的专家小组立场声明。
Atherosclerosis. 2020 Nov;313:126-136. doi: 10.1016/j.atherosclerosis.2020.09.008. Epub 2020 Sep 15.
6
A pharmacological framework for integrating treating the host, drug repurposing and the damage response framework in COVID-19.在 COVID-19 中整合宿主治疗、药物重定位和损伤反应框架的药理学框架。
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Beyond dexamethasone, emerging immuno-thrombotic therapies for COVID-19.COVID-19 的新型免疫血栓治疗方法:不止地塞米松。
Br J Clin Pharmacol. 2021 Mar;87(3):845-857. doi: 10.1111/bcp.14540. Epub 2020 Oct 14.
9
Early clinical and sociodemographic experience with patients hospitalized with COVID-19 at a large American healthcare system.美国一家大型医疗系统中新冠病毒疾病(COVID-19)住院患者的早期临床和社会人口学经验。
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10
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他汀类药物停药与 COVID-19 患者的治疗。

Statin withdrawal and treating COVID-19 patients.

机构信息

Sergy Haut, France.

出版信息

Pharmacol Res Perspect. 2021 Dec;9(6):e00861. doi: 10.1002/prp2.861.

DOI:10.1002/prp2.861
PMID:34708573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8551562/
Abstract

Most but not all observational studies of statin treatment of COVID-19 patients suggest that treatment improves outcomes. However, almost all of these studies fail to consider that withdrawing statins after hospital admission may have detrimental effects, a finding which cardiovascular investigators have known for 15-20 years. Continuing or starting statin treatment after hospital admission consistently improves cardiovascular outcomes. Similarly, inpatient statin treatment of COVID-19 improves survival. For this reason, observational studies of the effectiveness of outpatient-documented statin treatment of COVID-19 patients must consider the negative consequences of statin withdrawal after hospital admission.

摘要

大多数(但不是全部)关于他汀类药物治疗 COVID-19 患者的观察性研究表明,治疗可以改善结局。然而,几乎所有这些研究都没有考虑到住院后停用他汀类药物可能会产生不利影响,心血管研究人员在 15-20 年前就已经知道这一发现。在住院后继续或开始他汀类药物治疗始终可以改善心血管结局。同样,住院期间用他汀类药物治疗 COVID-19 可以提高生存率。因此,对于 COVID-19 患者门诊记录的他汀类药物治疗效果的观察性研究,必须考虑住院后停用他汀类药物的负面影响。