在心力衰竭的老年患者中使用静止剂和肌肉强度
Piotr Czapski1, Wiktoria Niegowska1, Jan Domański1
1DEPARTMENT OF INTERNAL MEDICINE AND GERIATRIC CARDIOLOGY, CENTRE OF POSTGRADUATE MEDICAL EDUCATION, WARSAW, POLAND.
概括
静止剂的使用与心力衰竭 (HF) 的老年人肌肉强度的降低无关. 这一发现表明,在这个人群中,他类药物对于维持肌肉力量是安全的.
科学领域:
- 老年学是指老年学的学科.
- 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:
- 心力衰竭 (HF) 在老年人中很常见,通常伴有肌肉衰弱.
- 类药物广泛用于心血管疾病,但它们对HF患者肌肉强度的影响仍有争议.
研究的目的:
- 调查诊断为心力衰竭的老年人中,他类药物治疗和肌肉强度之间的关系.
主要方法:
- 一组住院患有HF的老年人被划分为他类药物使用者 (美国) 和非使用者 (N-US).
- 使用手持式动力表量化肌肉力量.
- 用纽约心脏协会 (NYHA) 的功能分类来对心力衰竭的严重程度进行分类.
主要成果:
- 在他类药物使用者 (19.74kg) 和非使用者 (17.58kg) (p=0.098) 之间没有观察到肌肉强度的显著差异.
- 多变量分析确定了年龄,性别,NYHA类,血红蛋白,心房动和甲状腺功能低下症作为肌肉力量的独立预测因素.
结论:
- 静止剂的使用似乎不会对患有心力衰竭的老年人肌肉力量产生负面影响.
- 这些发现支持在这个患者群体中继续使用他类药物,而不担心肌肉相关的副作用.
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