安素缺乏治疗对晚期前列腺癌中心血管系统的影响
Allison B Reiss1, Samantha Vasalani1, Jacqueline Albert1
1Department of Medicine and Foundations of Medicine, NYU Grossman Long Island School of Medicine, Mineola, NY 11501, USA.
Medicina (Kaunas, Lithuania)
|November 27, 2024
概括
前列腺癌的雄激素剥夺疗法 (ADT) 有心血管风险. 口服ADT的relugolix与其他治疗方法相比,显示出较低的心血管风险,改善了患者的服从性和结果.
科学领域:
- 在瘤学瘤学.
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗雄激素剥夺疗法 (ADT) 是转移前列腺癌的标准治疗方法.
- ADT涉及抑制丸激素,并带有显著的心血管风险.
- 目前的ADT选择包括LHRH激动剂,雄激素合成抑制剂和受体对抗剂.
研究的目的:
- 审查前列腺癌的ADT和抗雄激素治疗方法.
- 检查各种ADT模式对心血管的影响.
- 评估relugolix作为一种具有潜在较低心血管风险的替代ADT.
主要方法:
- 关于ADT和抗雄激素疗法的文献综述.
- 对与不同ADT疗法相关的心血管影响的分析.
- 在relugolix和其他ADT选择之间比较心血管风险概况.
主要成果:
- 瑞卢戈力克斯是一种口服性腺激素释放激素抗剂,可以改善服从性.
- 使用relugolix抑制丸激素是有效的,在停止后恢复迅速.
- 新出现的证据表明,与其他ADT药物相比,Relugolix的心血管风险较低.
结论:
- ADT对于前列腺癌至关重要,但对心血管有不良影响.
- 瑞卢戈利克斯 (Relugolix) 是一个有前途的口服ADT选择,具有潜在的改善心血管安全概况.
- 需要考虑心血管状况的个性化ADT策略,并进一步研究降低风险.
相关概念视频
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
386
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
386
Exercise and Cardiovascular Response
737
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
737
Disorders of the Male Reproductive System
331
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
331
Heart Failure Drugs: Diuretics
343
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
343
Antihypertensive Drugs: Vasodilators
479
Vasodilators, primarily affecting the smooth muscles within arterial and venous walls, are commonly used for hypertension treatment. Medications such as minoxidil and hydralazine primarily target arteries and arterioles, while sodium nitroprusside acts on arterioles and venules. Minoxidil, functioning as a prodrug, is metabolized by hepatic sulfotransferase into its active form, minoxidil sulfate, after oral administration. This metabolite binds to the sulfonylurea receptor (SUR) component of...
479
Ischemic Heart Disease: Overview
1.2K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
1.2K


