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慢性アンギナの治療における薬理学的および新興療法
Steen E Husted1, E Magnus Ohman2
1Department of Medicine, Hospital Unit West, Herning, Denmark; Department of Clinical Pharmacology, Institute of Biomedicine, Aarhus University, Aarhus, Denmark.
Lancet (London, England)
|September 4, 2015
まとめ
標準的な治療法と新しい治療法では 慢性性心筋梗塞の症状である 慢性心筋梗塞を治療します 確立された治療法が存在しますが,新しいアンチアンギナの選択肢の確固たる証拠は限られています.
科学分野:
- 心臓病科
- 心臓発作の管理
背景:
- 慢性胸痛は,心不全の一般的な症状です.
- 医学的な治療は 胸痛の管理と 患者の生活の質の改善に不可欠です
研究 の 目的:
- 慢性アンギナに対する標準的,新興的,実験的治療法をレビューする.
- アンチアンギナ治療の現在の根拠を評価する.
主な方法:
- 標準的な治療法 (窒素,ベータブロック,カルシウムチャネルブロック) の文献レビュー
- 新興および実験的なアンチアンギナ治療法の検討
- 胸痛と赤血症の治療効果に関する利用可能な証拠の分析
主要な成果:
- 既定の治療法である ニートレート,ベータブロック,カルシウムチャネルブロックは 標準的な治療法です
- 世界的にいくつかの新興のアンチアンギナ治療法がありますが,支持する証拠は限られています.
- 発現中の治療法がアンギナと赤血症を軽減する効果に関する証拠は少ない.
結論:
- 慢性アンギナには 治療が不可欠です
- 新興のアンチアンギナ治療の有効性を検証するにはさらなる研究が必要である.
- 新しい治療法の証拠のギャップは 患者の治療結果を改善するために注意が必要です
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