诺和主要心血管不良事件之间的关联:系统性审查
Hritvik Jain1, Mohammed Dheyaa Marsool Marsool2, Haleema Qayyum Abbasi3
1From the Department of Internal Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, India.
Cardiology in review
|April 30, 2024
概括
诺基诺 (FQs) 增加了主要不良心血管事件 (MACE) 的风险,特别是心律失常. 齐普罗夫洛克萨显示的风险最低,而莱沃弗洛克萨,莫西弗洛克萨和加蒂弗洛克萨与更高的MACE率有关.
科学领域:
- 药理学 药理学是指药理学的学科.
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
背景情况:
- 诺基诺 (FQs) 是广泛的抗生素,经常用于各种感染.
- 新出现的证据表明,FQ使用与心血管不良事件之间存在潜在联系.
- 主要不良心血管事件 (MACE) 包括急性心肌梗塞,中风,心血管死亡率,心律失常和心力衰竭.
研究的目的:
- 系统地审查和调查诺基诺隆的管理和MACE的风险之间的关联.
- 为了识别具有更高诱发MACE的倾向的特定基诺.
主要方法:
- 在PubMed,Scopus和Cochrane图书馆进行了系统的文献搜索,直到2023年9月.
- 包括的研究比较了FQ与安慰剂的管理,并报告了MACE的发生.
- 四项涉及42808名患者的研究符合资格标准.
主要成果:
- 列沃素,莫西素和加蒂素与MACE风险增加有关,特别是心律失常.
- 在研究的诺类药物中,西普罗夫洛克萨表明MACE的风险最低.
- 在各个研究中观察到FQ给药时MACE概率升高的一致趋势.
结论:
- 诺基诺的使用与MACE的风险增加有关,具体药物之间存在差异.
- 某些FQ的血清度升高可能与MACE风险增加有关.
- 建议谨慎使用FQ,特别是在患有心血管疾病的患者中,需要进行心脏监测.
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