Serotonin reuptake inhibitors and cardiovascular disease

P.R. Belcher , A.J. Drake-Holland
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引用次数: 5

Abstract

Selective serotonin re-uptake inhibiting drugs (SSRIs) are widely taken for endogenous depression. In addition to depleting the nerve terminals of serotonin they also lower blood platelet serotonin levels. Platelet aggregation is a major component of acute coronary syndromes and platelet-released serotonin causes constriction of diseased blood vessels. Hypertensive subjects possess abnormally responsive blood vessels, thus arecent study in Coronary Health Care, which demonstrated better hypertensive control in patientstaking SSRIs, prompted an examination of the effects of these drugs on the cardiovascular disease process. The effects of serotonin and serotonin depletion upon intracoronary thrombosis, diseased blood vessels, blood platelets and bleeding are discussed with recommendations for future research into the potential cardiovascular benefits of these agents.

血清素再摄取抑制剂与心血管疾病
选择性5 -羟色胺再摄取抑制药物(SSRIs)被广泛用于内源性抑郁症。除了消耗神经末梢的血清素外,它们还会降低血小板血清素水平。血小板聚集是急性冠状动脉综合征的主要组成部分,血小板释放的血清素导致病变血管收缩。高血压患者具有异常反应性血管,因此最近在《冠状动脉保健》杂志上的一项研究表明,服用SSRIs的患者可以更好地控制高血压,这促使人们研究这些药物对心血管疾病过程的影响。讨论了5 -羟色胺和5 -羟色胺耗竭对冠状动脉内血栓形成、病变血管、血小板和出血的影响,并建议未来研究这些药物对心血管的潜在益处。
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