强化调脂治疗对不稳定型心绞痛脂联素、脂蛋白相关磷脂酶A2的影响

李庆军, 欧新锋

李庆军, 欧新锋. 强化调脂治疗对不稳定型心绞痛脂联素、脂蛋白相关磷脂酶A2的影响[J]. 实用临床医药杂志, 2010, (21): 80-81. DOI: 10.3969/j.issn.1672-2353.2010.21.038
引用本文: 李庆军, 欧新锋. 强化调脂治疗对不稳定型心绞痛脂联素、脂蛋白相关磷脂酶A2的影响[J]. 实用临床医药杂志, 2010, (21): 80-81. DOI: 10.3969/j.issn.1672-2353.2010.21.038

强化调脂治疗对不稳定型心绞痛脂联素、脂蛋白相关磷脂酶A2的影响

详细信息
  • 中图分类号: R541.4

  • 摘要: 动脉粥样硬化不稳定的粥样硬化斑块出现裂缝、糜烂或形成血栓,不完全堵塞冠状动脉导致不稳定型心绞痛(UA),炎症反应和血小板激活在此病理过程起重要作用.研究发现,脂联素和脂蛋白相关磷脂酶A2(Lp-PLA2)与急性冠状动脉综合征患者的预后相关[1-2].他汀类药物具有降低血脂、稳定斑块、降低炎症反应等作用,服用他汀类药物可升高脂联素、降低C反应蛋白水平和Lp-PLA2活性[3-4].本研究旨在探讨强化调脂能否进一步纠正不稳定型心绞痛患者血脂联素和Lp-PLA2紊乱,从而有助于改善患者预后.
  • Ang DS, Welsh P, Watt P. Serial changes in adiponectin and BNP in ACS patients:paradoxical associations with each other and with prognosis [J]. Clinical Science, 2009(1):41.doi: 10.1042/CS20080506.
    O′Donoghue M, Morrow DA, Sabatine MS. Lipoprotein-associated phospholipase A2 and its association with cardiovascular outcomes in patients with acute coronary syndromes in the PROVE IT-TIMI 22 (PRavastatin Or atorVastatin Evaluation and Infection Therapy-Thrombolysis In Myocardial Infarction) trial [J]. Circulation, 2006, (14):1745.doi: 10.1161/CIRCULATIONAHA.105.612630.
    李冰, 王建. 辛伐他汀对不稳定性心绞痛患者脂联素和超敏C反应蛋白水平的影响 [J]. 医学临床研究, 2007(3):441, 446.doi: 10.3969/j.issn.1671-7171.2007.03.034.
    Saougos VG, Tambaki AP, Kalogirou M. Differential effect of hypolipidemic drugs on lipoprotein-associated phospholipase A2 [J]. Arteriosclerosis, Thrombosis, and Vascular Biology, 2007, (10):2236.doi: 10.1161/ATVBAHA.107.147280.
    中华医学会心血管病学分会, 《中华心血管病杂志》编辑委员会. 不稳定性心绞痛和非ST段抬高心肌梗死诊断与治疗指南 [J]. 中华心血管病杂志, 2007(4):295.doi: 10.3760/j.issn:0253-3758.2007.04.003.
    Kitagawa T, Yamamoto H, Horiguchi J. Characterization of Noncalcified Coronary Plaques and Identification of Culprit Lesions in Patients With Acute Coronary Syndrome by 64-Slice Computed Tomography [J]. Journal of the American College of Cardiology Img, 2009(2):153.
    Raffel OC, Tearney GJ, Gauthier DD. Relationship Between a Systemic Inflammatory Marker, Plaque Inflammation, and Plaque Characteristics Determined by Intravascular Optical Coherence Tomography [J]. Arteriosclerosis, Thrombosis, and Vascular Biology, 2007(8):1820.doi: 10.1161/ATVBAHA.107.145987.
    刘素云, 李拥军, 祖秀光. 不稳定型心绞痛患者血清脂联素检测的意义 [J]. 临床荟萃, 2005, (21):1213.doi: 10.3969/j.issn.1004-583X.2005.21.005.
    Serruys PW, Garcia-Garcia HM, Buszman P. Effects of the direct lipoprotein-associated phospholipase A(2) inhibitor darapladib on human coronary atherosclerotic plaque [J]. Circulation, 2008, (11):1172.doi: 10.1161/CIRCULATIONAHA.108.771899.
    Ambrose JA, Martinez EE. A new paradigm for plaque stabilization [J]. Circulation, 2002, (16):2000.doi: 10.1161/01.CIR.0000012528.89469.8E.
计量
  • 文章访问数:  119
  • HTML全文浏览量:  11
  • PDF下载量:  5
  • 被引次数: 0
出版历程
  • 发布日期:  2011-01-12

目录

    /

    返回文章
    返回
    x 关闭 永久关闭