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胰高血糖素样肽-1受体激动剂与胃排空延迟:对侵入性心脏介入治疗和手术的影响

GLP-1 receptor agonists and delayed gastric emptying: implications for invasive cardiac interventions and surgery.

作者信息

Shankar Aditi, Sharma Aditi, Vinas Ariel, Chilton Robert J

机构信息

Division of Cardiology, Department of Medicine, University of Texas Health San Antonio.

U.S. Department of Veteran Affairs, Audie L Murphy Veteran's Association Hospital, San Antonio, Texas, USA.

出版信息

Cardiovasc Endocrinol Metab. 2024 Dec 4;14(1):e00321. doi: 10.1097/XCE.0000000000000321. eCollection 2025 Mar.

Abstract

Glucagon-like peptide-1 (GLP-1) is a hormone involved in glucose homeostasis and satiety regulation. The review highlights the importance of understanding the interplay between GLP-1 and gastric motility. This paper explores the intricate connection between GLP-1 and delayed gastric emptying, specifically gastroparesis, and its implications in the context of pulmonary aspiration during anesthesia along with the potential effects of GLP-1 medications on absorption of other medications. The findings noted in this paper serve as a catalyst for continued exploration into the intricate dynamics of GLP-1 and its implications in the context of perioperative care, aiming to enhance patient safety and optimize anesthesia practices. The inquiry suggests that an in-depth examination of this relationship is crucial for refining perioperative management strategies. It underscores the need for further research to elucidate the mechanisms involved and to establish guidelines that address the potential risks associated with GLP-1 modulation, particularly in patients undergoing anesthesia for various cardiac surgeries and procedures. Specifically in the context of cardiac interventions understanding the potential for delayed absorption of critical cardiac medications due to the influence of GLP-1 on gastric emptying is particularly important as drug absorption can play a crucial role for ensuring successful outcomes.

摘要

胰高血糖素样肽-1(GLP-1)是一种参与葡萄糖稳态和饱腹感调节的激素。这篇综述强调了理解GLP-1与胃动力之间相互作用的重要性。本文探讨了GLP-1与胃排空延迟(特别是胃轻瘫)之间的复杂联系,及其在麻醉期间肺误吸背景下的影响,以及GLP-1药物对其他药物吸收的潜在影响。本文中的研究结果促使人们继续探索GLP-1的复杂动态及其在围手术期护理背景下的影响,旨在提高患者安全性并优化麻醉实践。该研究表明,深入研究这种关系对于完善围手术期管理策略至关重要。它强调需要进一步研究以阐明其中涉及的机制,并制定应对GLP-1调节相关潜在风险的指南,特别是在接受各种心脏手术和操作的麻醉患者中。特别是在心脏介入手术的背景下,了解由于GLP-1对胃排空的影响导致关键心脏药物吸收延迟的可能性尤为重要,因为药物吸收对于确保成功结果可能起着至关重要的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c959/11620716/7382a30e4a4d/xce-14-e00321-g001.jpg

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