Why colchicine is not beneficial in patients with acute coronary syndrome? In search of a CLEAR answer.

IF 2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Stefano De Servi, Mauro Molteni, Claudio Cimminiello
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引用次数: 0

Abstract

Neutrophil count is a risk factor for myocardial infarction (MI). Colchicine, a drug known as an anti-inflammatory, acts by selectively concentrating on neutrophils and impairing their function. Colchicine has been used successfully in the prevention of vascular events in patients with coronary artery disease (CAD), but recently the largest clinical trial carried out with colchicine in this clinical setting was unexpectedly neutral in the comparison of placebo and colchicine in patients with recent MI. Among the characteristics that distinguish patients with acute coronary syndromes (ACS) from established CAD is the dual antiplatelet therapy (DAPT), often consisting of aspirin and clopidogrel. Clopidogrel significantly reduces neutrophil count and could play a competitive role with colchicine by blunting its clinical effect.

为什么秋水仙碱对急性冠脉综合征患者无效?寻找一个明确的答案。
中性粒细胞计数是心肌梗死(MI)的危险因素。秋水仙碱是一种被称为抗炎药的药物,它通过选择性地集中于中性粒细胞并损害它们的功能来起作用。秋水仙碱已经成功地用于预防冠心病(CAD)患者的血管事件,但最近在该临床环境中进行的最大的秋水仙碱临床试验在比较安慰剂和秋水仙碱对近期心肌梗死患者的影响时出乎意料地中性。区分急性冠脉综合征(ACS)患者和已建立的冠心病患者的特征之一是双重抗血小板治疗(DAPT)。通常由阿司匹林和氯吡格雷组成。氯吡格雷可显著降低中性粒细胞计数,并可与秋水仙碱竞争,削弱其临床效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Coronary artery disease
Coronary artery disease 医学-外周血管病
CiteScore
2.50
自引率
0.00%
发文量
190
审稿时长
6-12 weeks
期刊介绍: Coronary Artery Disease welcomes reports of original research with a clinical emphasis, including observational studies, clinical trials, translational research, novel imaging, pharmacology and interventional approaches as well as advances in laboratory research that contribute to the understanding of coronary artery disease. Each issue of Coronary Artery Disease is divided into four areas of focus: Original Research articles, Review in Depth articles by leading experts in the field, Editorials and Images in Coronary Artery Disease. The Editorials will comment on selected original research published in each issue of Coronary Artery Disease, as well as highlight controversies in coronary artery disease understanding and management. Submitted artcles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and​ peer-review by the editors and those invited to do so from a reviewer pool.
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