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Heterozygous familial hypercholesterolaemia Alirocumab: efficacy still not demonstrated for prevention of cardiovascular disease

机译:杂合族家族性高胆固醇血症Alirocumab:效果仍未证明预防心血管疾病

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A trial in 62 patients with heterozygous familial hypercholesterolaemia being treated by LDL lipoprotein apheresis has shown a short-term reduction in the number of apheresis sessions with alirocumab without any proven reduction in cardiovascular events, but with adverse effects including gastrointestinal, respiratory, neurological, and muscular disorders. In patients with familial hypercholesterolaemia in whom serum LDL-cholesterol remains elevated despite treatment with cholesterol-lowering drugs, LDL lipoprotein apheresis is sometimes considered. Apheresis is an onerous and inconvenient procedure used principally in patients with homozygous familial hypercholesterolaemia who have a very high risk of cardiovascular events from childhood. In this situation, apheresis appears to reduce the frequency of cardiovascular events. It is less commonly used in patients with heterozygous familial hypercholesterolaemia, who have a lower cardiovascular risk than those with the homozygous form of the condition (1,2).
机译:通过LDL脂蛋白血管素治疗的62例杂合族家族性高胆固醇血症的试验表明,具有Alirocumab的血管内休会数量的短期减少,而无需任何经过验证的心血管事件减少,而是具有胃肠道,呼吸道,神经系统的不良反应肌肉疾病。在患有胆固醇降低药物治疗的血清LDL-胆固醇血清LDL-胆固醇的家族性高胆固醇血症患者中,有时会考虑LDL脂蛋白洗甲酸酯。采血病是一种繁重和不方便的程序,主要用于患有纯合家族高胆固醇血症的患者,他们具有童年的心血管事件的风险很高。在这种情况下,容易内容似乎降低了心血管事件的频率。杂合性家族高胆固醇血症患者常用于杂种体风险低于纯合形式的条件(1,2)。

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    《Prescrire international》 |2018年第194期|共2页
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  • 正文语种 eng
  • 中图分类 药学;
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