首页> 外文期刊>The Journal of Clinical Pharmacology: Official Journal of the American College of Clinical Pharmacology >Chelation therapy in cardiovascular disease: ethylenediaminetetraacetic acid, deferoxamine, and dexrazoxane.
【24h】

Chelation therapy in cardiovascular disease: ethylenediaminetetraacetic acid, deferoxamine, and dexrazoxane.

机译:心血管疾病的螯合疗法:乙二胺四乙酸,去铁胺和右雷佐生。

获取原文
获取原文并翻译 | 示例
           

摘要

This review was conducted to assess whether there is sufficient evidence for the clinical use of chelation therapy in cardiovascular disease based on original articles and abstracts published in the last 30 years, with emphasis placed on the most recent placebo-controlled studies. Articles postulating the mechanisms of chelation also were included. The majority of the literature focused on three chelators in particular, ethylenediaminetetraacetic acid (EDTA), deferoxamine, and dexrazoxane (ICRF-187). Historically, much has been written on the beneficial effects of EDTA. However, there are few controlled studies, and the mechanism of action of EDTA is poorly understood. Although studies of deferoxamine are more recent, most of the research is limited to animals and ex vivo models. Recently, dexrazoxane was approved, but only for parenteral use for reducing the incidence and severity of cardiomyopathy associated with doxorubicin administration in women with metastatic breast cancer. Given these limitations, it is concluded that more controlled studies are required to determine the efficacy of chelation therapy in cardiovascular disease before it can be used broadly in the clinical setting.
机译:根据最近30年来发表的原创文章和摘要,进行了这项综述,以评估是否有足够的证据证明螯合疗法在心血管疾病中的临床应用,重点放在最新的安慰剂对照研究上。文章还提出了螯合机制的文章。大多数文献集中于三种螯合剂,特别是乙二胺四乙酸(EDTA),去铁胺和右雷佐生(ICRF-187)。从历史上看,有关EDTA的有益效果的文章很多。然而,很少有对照研究,并且对EDTA的作用机理了解甚少。尽管去铁胺的研究较新,但大多数研究仅限于动物和离体模型。最近,右雷佐生被批准,但仅用于肠胃外使用,以减少转移性乳腺癌妇女与阿霉素相关的心肌病的发生率和严重性。鉴于这些限制,可以得出结论,在将螯合疗法广泛用于临床之前,需要进行更多的对照研究,以确定螯合疗法在心血管疾病中的功效。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号