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首页> 外文期刊>Current opinion in lipidology >The role of flow-mediated dilatation in the evaluation and development of antiatherosclerotic drugs.
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The role of flow-mediated dilatation in the evaluation and development of antiatherosclerotic drugs.

机译:血流介导的扩张在抗动脉粥样硬化药物评估和开发中的作用。

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PURPOSE OF REVIEW: The present article reviews the use of flow-mediated dilatation in clinical cardiovascular research. Its value as a surrogate tool for development of antiatherosclerotic drugs and noninvasive assessment of cardiovascular risk is also discussed. RECENT FINDINGS: Atherosclerosis remains the leading cause of cardiovascular morbidity and mortality. Development of new drugs is required to target both the evolution of this disease and its clinical consequences. Noninvasive measures of arterial function and structure have been widely used as intermediate phenotypes in clinical trials. Numerous studies have demonstrated the interplay between vascular risk factors and endothelial function as assessed by flow-mediated dilatation in children and adults. Additionally, a number of studies have documented the prognostic value of the method. SUMMARY: Detection of early arterial changes can prove particularly useful in clinical research for the development of antiatherosclerotic drugs. They permit identification of vascular toxicity as well as characterization of the safety and risk profile of a new cardiovascular treatment modality on vascular health. This approach is likely to prove cost-effective before embarking on large longitudinal studies to assess cardiovascular morbidity and mortality.
机译:审查的目的:本文概述了在临床心血管研究中流量介导的扩张的使用。还讨论了其作为开发抗动脉粥样硬化药物和无创评估心血管风险的替代工具的价值。最新发现:动脉粥样硬化仍然是心血管疾病发病率和死亡率的主要原因。需要开发新药以靶向这种疾病的发展及其临床后果。动脉功能和结构的非侵入性测量已广泛用作临床试验中的中间表型。许多研究表明,通过对儿童和成人进行血流介导的扩张评估,血管危险因素与内皮功能之间的相互作用。此外,许多研究已证明该方法的预后价值。摘要:早期动脉变化的检测可以证明在抗动脉粥样硬化药物开发的临床研究中特别有用。它们可以识别血管毒性,以及表征新的心血管治疗方式对血管健康的安全性和风险。在着手进行大型纵向研究以评估心血管疾病的发病率和死亡率之前,这种方法可能证明具有成本效益。

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