双重抗血小板疗法(替格瑞洛联合阿司匹林)在控制不良心血管事件的III期临床试验中大获成功

2019-02-26 不详 MedSci原创

III期临床试验THEMIS的结果表明,双重抗血小板治疗可以改善既往冠状动脉疾病(CAD)和2型糖尿病患者的预后。

III期临床试验THEMIS的结果表明,双重抗血小板疗法可以改善既往冠状动脉疾病(CAD)和2型糖尿病患者的预后。

与阿司匹林单用相比,Brilinta(替格瑞洛),一种口服的P2Y12受体拮抗剂(通过抑制血小板活化起作用),与阿司匹林联用可显着降低了既往冠状动脉疾病(CAD)和2型糖尿病患者的主要不良血管事件(MACE)。

THEMIS是一项多国、随机、双盲试验,适用于既往无心肌梗死或中风的冠心病和2型糖尿病患者,总共有超过19000名患者参与了该研究。THEMIS旨在检验Brilinta联合阿司匹林是否可降低MACE。

THEMIS项目联合主席哈佛医学院教授说:"THEMIS试验是迄今为止进行的最大型的2型糖尿病患者随机试验,用于评估更强烈的抗血小板治疗是否是一种有效方法。这些结果可以帮助我们更好地理解双重抗血小板治疗在动脉粥样硬化血栓形成患者中的作用。"

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    2019-10-03 juliusluan78
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  9. 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    2019-02-27 ylzr123

    大作已经学习,谢谢把经验分享给同好。点赞了!

    0

  10. 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    2019-02-26 123ba698m96暂无昵称

    已阅

    0

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阿司匹林能够抑制血小板聚集,但是其仅能轻度降低长期血管事件,这促使研究者开发其他抗血小板药物,或阿司匹林联合其他抗血小板药物,或阿司匹林联合抗凝。

JACC:双重抗血小板药物治疗对冠脉支架植入术后缺血风险的影响

复杂型经皮冠脉介入治疗(PCI)与更高的缺血性风险相关,可通过长期的双重抗血小板药物治疗(DAPT)缓解,但这又会增加患者出血的风险。本研究的目的旨在评估冠脉支架植入后DAPT治疗期间的缺血和出血风险。本研究中的复杂型PCI定义为≥3个支架的植入或为≥3个靶病变的治疗,分叉口的支架植入和/或支架长度>6cm,和/或慢性完全闭塞血运重建。最终共纳入了来自8个临床随机试验的14963名患者,其中311

Stroke Vasc Neurol:双联抗血小板治疗的起始时间窗是否可以扩大到72小时?

急性小缺血性卒中(ischaemic stroke,IS)和 TIA 非常常见,以及常在前几周引起残疾事件。抗血小板治疗能够显着降低高风险患者的血管事件风险。当前的指南强烈推荐急性 IS 早期应该给予阿司匹林。然而,双联抗血小板治疗的安全性和有效性尚未被完全阐明。

Int J Cardiol:左心耳(LAA)封堵器植入后阿司匹林和氯吡格雷的抗血小板效应

由此可见,LAAC后患者氯吡格雷抗血小板效应受损非常频繁。未发生卒中或封堵器血栓形成。对氯吡格雷出现LTPR的患者发生轻微出血事件更多。因此,这一假设产生的初步研究提出了一个问题,即在LAAC之后是否需要服用氯吡格雷。这个问题应该在大型试验中进行明确。