患有多巴胺激动剂治疗的超益乳血症的患者有缺血性中风风险
Amit Akirov1,2, Yaron Rudman1,2, Yael Sharon1,3
1Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Journal of neuroendocrinology
|February 10, 2025
概括
接受多巴胺激动剂治疗的患有高益生菌血症的患者面临更高的缺血性中风风险. 较高的益生素水平和延迟的正常化增加了这种风险,年龄和并发症是关键预测因素.
科学领域:
- 内分泌学 在内分泌学.
- 神经学 神经学
- 心血管医学 心血管医学
背景情况:
- 超益生菌性血症是益生菌素水平升高的疾病,关于中风风险的数据有限.
- 多巴胺激动剂是一种常见的治疗方法,用于治疗超益生菌性血症.
研究的目的:
- 为了评估多巴胺激动剂治疗的高血和缺血性中风风险之间的关联.
- 在患有高血性血的患者中确定缺血性中风的预测因子.
主要方法:
- 这是一项回顾性队列研究,将2440名患有高血糖性血症的患者与12022名匹配的对照人进行比较.
- 主要结局是缺血性中风的发生率.
主要成果:
- 患有高甲血症的患者有较高的缺血性中风发病率 (8.0%对6.21%,调整HR为1.24).
- 较高的益乳素水平 (>5x ULN) 和较长的正常化时间与中风风险增加相关.
- 高血糖性血症患者的重大中风预测因素包括年龄≥60岁,男性性别,高血压,糖尿病和缺血性心脏病.
结论:
- 用多巴胺激动剂治疗的高血与缺血性中风的风险增加有关.
- 升高的益生素水平和延迟的正常化与此人群中风风险更高有关.
相关概念视频
Parkinson's Disease: Treatment
189
Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
189
Drugs Affecting GI Tract Motility: Dopamine Receptor Antagonists
242
Prokinetic agents are specialized medications that stimulate gastrointestinal (GI) motility, promoting food movement through the GI tract. Dopamine, an inhibitory neurotransmitter, plays a significant role in this process, reducing GI motility and indirectly controlling the speed of digestion. Dopamine receptor antagonists, such as metoclopramide and domperidone, offer a unique advantage as prokinetic agents. By blocking the dopamine receptors, these drugs increase GI motility, improving food...
242
Parkinson's Disease: Overview
436
Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is...
436
Drugs Affecting Neurotransmitter Synthesis
1.2K
Drugs affecting neurotransmitter synthesis can impact the adrenergic neuron and the synthesis of neurotransmitters. For example, α-methyltyrosine and carbidopa target specific enzymes involved in catecholamine synthesis. α-methyltyrosine inhibits the enzyme tyrosine hydroxylase, which converts tyrosine into dopamine. By blocking this enzyme, α-methyltyrosine reduces dopamine production and other catecholamines. Carbidopa, on the other hand, inhibits the enzyme dopa decarboxylase,...
1.2K
Antidepressant Drugs: MAOIs and Other Agents
183
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
183
Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists
215
Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
Phenothiazines, such as prochlorperazine...
Phenothiazines, such as prochlorperazine...
215


