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不断演变的命运:猫心源性动脉血栓栓塞症发病机制与治疗的新视角

Evolving FATE: A New Lens on the Pathogenesis and Management of Feline Cardiogenic Arterial Thromboembolism.

作者信息

Yeh Natasha S, Shaverdian Meg, Li Ronald H L

机构信息

Terry Veterinary Medical Center, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606, USA.

Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, CA 95616, USA.

出版信息

Animals (Basel). 2025 Jun 1;15(11):1630. doi: 10.3390/ani15111630.

Abstract

Feline cardiogenic arterial thromboembolism (FATE) remains one of the most devastating complications of feline cardiomyopathies, with high mortality and recurrence rates. Despite its clinical importance, significant knowledge gaps persist in our understanding of FATE's pathogenesis and optimal management strategies. Our review aims to address these gaps by providing a comprehensive overview of the current understanding of FATE, including disease mechanisms, risk factors, emerging diagnostics, and preventative strategies. Importantly, we identify key areas such as immunothrombosis, procoagulant platelets, platelet heterogeneity, and altered fibrinolysis where future research may yield novel biomarkers and therapeutic targets to improve outcomes in affected feline patients.

摘要

猫心源性动脉血栓栓塞症(FATE)仍然是猫心肌病最具破坏性的并发症之一,死亡率和复发率都很高。尽管其在临床上具有重要意义,但我们对FATE的发病机制和最佳管理策略的理解仍存在重大知识空白。我们的综述旨在通过全面概述目前对FATE的理解来填补这些空白,包括疾病机制、风险因素、新兴诊断方法和预防策略。重要的是,我们确定了免疫血栓形成、促凝血血小板、血小板异质性和纤维蛋白溶解改变等关键领域,未来的研究可能会在这些领域产生新的生物标志物和治疗靶点,以改善受影响猫科动物患者的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cdf/12153538/8136014a4390/animals-15-01630-g001.jpg

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