高尿酸血症和降尿酸药对心血管疾病的影响

IF 2.3 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Clinical Medicine Insights. Cardiology Pub Date : 2024-03-24 eCollection Date: 2024-01-01 DOI:10.1177/11795468241239542
Franklin Sosa, Mohammed Shaban, Jose Lopez, Gustavo J Duarte, Swati Jain, Asma Khizar, Timothy Vittorio, Rishabh Mishra, Miguel Rodriguez Guerra
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引用次数: 0

摘要

多年来,人们一直在研究高尿酸血症与心血管疾病之间的关系。研究表明,高尿酸水平与冠心病、高血压和其他心血管疾病的风险增加有关。降尿酸治疗,特别是使用别嘌醇等黄嘌呤氧化酶抑制剂,在降低高尿酸血症和高血压患者的血压方面取得了可喜的成果。临床试验和研究表明,降尿酸治疗可显著降低收缩压和舒张压。对于既往患有心血管疾病的患者,降尿酸治疗在降低收缩压和主要不良心血管事件方面显示出良好的效果。在心血管安全性方面,临床试验表明,非布索坦等黄嘌呤氧化酶抑制剂的疗效并不优于别嘌醇,而且不会增加死亡或严重不良事件的风险。总之,这些研究结果强调了控制高尿酸血症和利用降尿酸疗法来减轻尿酸水平升高对心血管的不良影响的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of Hyperuricemia and Urate-Lowering Agents on Cardiovascular Diseases.

The association between hyperuricemia and cardiovascular diseases has been studied for many years. Research has shown a link between high uric acid levels and increased risk of including coronary artery disease hypertension and other cardiovascular conditions. Urate-lowering therapy, particularly with xanthine oxidase inhibitors like allopurinol, has shown promising results in reducing blood pressure in individuals with hyperuricemia and hypertension. Clinical trials and studies have demonstrated significant reductions in both systolic and diastolic blood pressure with urate-lowering treatment. Urate-lowering treatment has shown a favorable effect on reducing systolic blood pressure and major adverse cardiovascular events in patients with previous cardiovascular disease. In terms of cardiovascular safety, clinical trials have indicated that xanthine oxidase inhibitors such as febuxostat are non-inferior to allopurinol and do not increase the risk of death or serious adverse events. Overall, these findings highlight the importance of managing hyperuricemia and utilizing urate-lowering therapy to mitigate the adverse cardiovascular effects associated with elevated uric acid levels.

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来源期刊
Clinical Medicine Insights. Cardiology
Clinical Medicine Insights. Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
5.20
自引率
3.30%
发文量
16
审稿时长
8 weeks
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