斑块稳定和回归,从机制到监测和临床策略
Xi Zhang1,2, Huanhuan Feng2,3, Yan Han1,2
1Senior Department of Cardiology, Sixth Medical Center of Chinese PLA General Hospital, 100853 Beijing, China.
Reviews in cardiovascular medicine
|January 1, 2025
概括
冠状动脉疾病的治疗可以通过稳定和缩小动脉样硬化斑块来减少心血管事件. 先进的成像证实了这些对斑块大小和特征的有益影响.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 翻译研究是翻译研究.
背景情况:
- 心血管治疗和冠状动脉成像方面的进步已经揭示了除了减少事件之外的治疗益处.
- 冠状动脉疾病 (CAD) 的治疗方法对动脉样硬化斑块的大小和特征产生有利影响.
- 药物可以诱导斑块回归并增强形成后的稳定性.
研究的目的:
- 探索斑块稳定和回归背后的机制.
- 要总结成像特征表明斑块稳定和回归.
- 用斑块特征作为观察终点组装临床证据.
主要方法:
- 对临床试验和侵入性成像技术的审查.
- 分析了血管内超声波 (IVUS) 和光学连贯性断层扫描 (OCT) 的数据.
- 关于斑块稳定和回归终点的证据综合.
主要成果:
- 临床试验表明,治疗有利于影响动脉样硬化斑块的大小和特征.
- 侵入性成像 (IVUS,OCT) 提供了冠状动脉斑块稳定和回归的证据.
- 观察到的效应包括斑块回归和增强的稳定性,与心血管事件减少有关.
结论:
- 针对冠状动脉疾病的疗法可以导致斑块回归和稳定.
- 像IVUS和OCT这样的成像模式对于观察这些变化至关重要.
- 斑块稳定和回归是评估心血管事件减少策略的可行终点.
相关概念视频
Pharmacovigilance
730
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
730
Antiplatelet Drugs: Prostaglandin Synthesis, P2Y12 and Glycoprotein IIb/IIIa Inhibitors
384
Antiplatelet drugs emerge as frontline defenders against the insidious threat of thromboembolic diseases, where abnormal clots obstruct vital blood vessels. These drugs stand as bulwarks, inhibiting platelet aggregation and clot formation, thereby mitigating the risk of life-threatening conditions like myocardial infarction, coronary artery disease, and thrombotic strokes.
Prostaglandin synthesis inhibitors, exemplified by the widely known aspirin, wield their power by irreversibly acetylating...
Prostaglandin synthesis inhibitors, exemplified by the widely known aspirin, wield their power by irreversibly acetylating...
384
Alzheimer's Disease: Treatment
125
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
125
Healthcare Associated Infections II: Preventive Measures
2.2K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.2K
Clot Retraction and Fibrinolysis
2.3K
After a fibrin clot is formed, the next step is clot retraction, a vital process facilitated by platelet contractile proteins, such as actin and myosin. These proteins pull the fibrin strands closer together and condense the clot. This action reduces the size of the clot, creating a smaller, denser structure that effectively seals off the damaged vessel. Clot retraction consolidates the clot and helps with wound healing by bringing the edges of the damaged blood vessel closer together.
2.3K
Clinical Trials
6.6K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.6K


