皮革冠状动脉干预 (PCI) 在类风湿性关节炎患者中:系统性审查和元分析
Shobhit Piplani1, Anastas Kostojchin2, Steve Kong1
1Jacobi Medical Center/North Central Bronx, Albert Einstein College of Medicine, NYC Health and Hospitals, 3424 Kossuth Avenue, Bronx, NY, 10467, USA.
风湿性关节炎 (RA) 患者的皮肤冠状动脉干预 (PCI) 与重大心血管不良事件的风险更高有关. 对这些接受PCI的个人来说,仔细监测和量身定制的护理至关重要.
科学领域:
- 心脏病学 心脏病学
- 类风湿病学 类风湿病学
- 干预心脏病学 干预心脏病学
背景情况:
- 风湿性关节炎 (RA) 是一种慢性炎症疾病,与心血管风险增加有关.
- 穿皮冠状动脉干预 (PCI) 是治疗冠状动脉疾病的常见程序.
研究的目的:
- 调查RA患者PCI的结果.
- 为了比较RA患者和接受PCI的非RA患者之间的心血管事件率.
主要方法:
- 在主要数据库中进行了系统的文献搜索,直到2023年9月.
- 八项观察性研究被纳入了元分析.
- 使用Review Manager 5.4.1和随机效应模型进行统计分析.
主要成果:
- 接受PCI的RA患者显示,主要心血管不良事件 (MACE) (OR = 1.18) 的统计显著增加.
- 在RA和非RA患者之间的长期重血管化结果中没有发现显著差异.
- 在这两组人群中,所有原因的长期死亡率在统计学上也无意义.
结论:
- PCI对于降低心血管疾病的发病率和死亡率至关重要.
- 接受PCI的RA患者需要对药物相互作用和量身定制的术后护理保持高度警.
- 特别的预防措施是必不可少的,以减轻风险和改善RA患者PCI后RA患者的结果.
更多相关视频
06:31Author Spotlight: Enhancing Rheumatoid Arthritis Research Through HR-pQCT Imaging Analysis
Published on: October 6, 2023
11:03A Cryo-pulverization Protocol for Processing Mouse Paws to Evaluate Molecular Pathways of Tissue Inflammation in a Collagen Induced Arthritis Model
Published on: October 30, 2019
相关概念视频
The JAK-STAT Signaling Pathway
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
Antianginal Drugs: Calcium Channel Blockers and Ranolazine
CCBs, a diverse class that includes dihydropyridines (nifedipine) and diphenylalkylamines (verapamil and diltiazem), exert their effect by blocking calcium channels in cardiac and smooth muscle cells. This...
