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[长期阿司匹林治疗预防心肌梗死复发]

[Prevention of recurrent myocardial infarcts by long-term aspirin therapy].

作者信息

Khalfen E Sh, Ivanova I A

出版信息

Kardiologiia. 1986 Sep;26(9):66-70.

PMID:3537440
Abstract

Daily 500 mg doses of aspirin were shown to be sufficient to produce lasting (one year long) inhibition of platelet aggregation. Two matched samples of postmyocardial infarction patients were compared: 844 untreated controls and 570 patients treated with 500 mg aspirin daily for 1 year following myocardial infarction. In the treated sample, the incidence of recurrent myocardial infarction, including sudden death, dropped from 13.1 to 8.9%, coronary mortality, including sudden death, from 7.2 to 4.7%, sudden death rate, from 3.2 to 1.9%, and total mortality, from 9.3 to 6.6%, as compared to the untreated sample.

摘要

每日服用500毫克阿司匹林已被证明足以产生持久(长达一年)的血小板聚集抑制作用。对两组心肌梗死后患者的配对样本进行了比较:844名未接受治疗的对照组患者和570名心肌梗死后每天服用500毫克阿司匹林,持续1年的患者。与未治疗的样本相比,在接受治疗的样本中,复发性心肌梗死(包括猝死)的发生率从13.1%降至8.9%,冠状动脉死亡率(包括猝死)从7.2%降至4.7%,猝死率从3.2%降至1.9%,总死亡率从9.3%降至6.6%。

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