克服患者对他类药物不耐受症的不情愿
Basant E Katamesh1, Alicia A Mickow2, Linda Huang3
1Research Fellow in the Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, United States.
Kardiologia polska
|May 7, 2024
概括
达他林不耐受,影响5-30%的患者,往往是高估,由于nocebo效应. 管理包括重新评估风险,共享决策,并考虑治疗失脂症的替代疗法.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
- 临床医学 临床医学
背景情况:
- 静止剂治疗对于预防心血管事件至关重要.
- 患者的不情愿和不耐受性,通常与肌肉骨症状等副作用有关,阻碍了最佳的他类药物使用.
- 诺塞博效应可能会导致对他类药物不耐受性患病率的高估.
研究的目的:
- 审查他类药物不耐受性谱.
- 概述关于他类药物不耐受性的临床评估策略.
- 提出一种系统的方法来管理他类药物不耐受的患者.
主要方法:
- 关于他类药物不耐受性的文献综述.
- 对影响他类药物不耐受性的因素的分析.
- 对他类药物不耐受症的管理策略的讨论.
主要成果:
- 据报道,在5%至30%的患者中,会出现他类药物不耐受性,因可乐效应可能被高估.
- 高龄,女性性别,糖尿病,慢性病和某些同时服用药物与更高的不耐受性有关.
- 有效的管理策略包括共享决策,他类药物再挑战,剂量定位和替代疗法.
结论:
- 彻底的临床评估是诊断他类药物不耐受和排除其他症状原因的必要条件.
- 需要采取多方面的方法,包括以患者为中心的策略和替代治疗方法,以在发生他类药物不耐受时管理失脂症.
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