抗药物使用和中风风险增加:系统性审查
Bikram Prasad Gajurel1, Sanjeev Kharel2, Riwaj Bhagat3
1Department of Neurology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
抗药物 (AED) 与缺血性中风的风险较高有关,特别是在没有先前心血管事件的患者中. 需要进一步的研究来评估剂量依赖性和特定药物风险.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 心血管研究研究心血管研究
背景情况:
- 抗药物 (AED) 广泛用于治疗,偏头痛,神经病痛和双极性疾病.
- 使用AED与中风,心脏病发作和心律失常的风险增加有关,特别是具有诱导酶的特性.
研究的目的:
- 系统地审查在使用AED的患者中缺血性中风的风险,而没有先前的脑血管事故史.
- 确定与缺血性中风风险增加相关的特定AED.
主要方法:
- 在PubMed,EMBASE和谷歌学者 (2000-2021) 中进行了系统的文献搜索.
- 包括报告AED与缺血性中风风险之间的关联的研究.
- 评估结果包括事件比率,危险比率,几率比率和风险比率.
主要成果:
- 在八项研究中,有七项表明,在没有先前心血管事故的个体中,使用AED增加了缺血性中风的风险.
- 芬伊托因,甲,甲,甲, levetiracetam,甲和甲与增加中风风险有关.
- 关于AED暴露时间和中风风险之间的相关性数据不足.
结论:
- 抗药物,特别是诱导酶的类型,构成缺血性中风的重大风险.
- 这种风险的剂量依赖性需要进一步评估.
- 权衡AED的风险和益处对于患者至关重要,特别是那些有血管风险因素的患者,以减轻缺血性中风风险.
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