Sarah M Elkablawy, Aliaa E Shaban, Tarek M Mostafa
{"title":"评价卡维地洛对缺血性心脏病患者胃保护作用的临床研究。","authors":"Sarah M Elkablawy, Aliaa E Shaban, Tarek M Mostafa","doi":"10.1007/s10787-025-01961-1","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and purpose: </strong>Despite its therapeutic benefits in ischemic heart disease (IHD) patients, using aspirin represents a significant risk of gastric ulcers. Therefore, this study aimed to inspect the gastroprotective potential of carvedilol in IHD patients undergoing aspirin treatment.</p><p><strong>Patients and methods: </strong>In this randomized, controlled parallel trial, 66 patients with IHD on aspirin therapy were assigned to group 1 (control, n = 33), received aspirin 150 mg plus captopril 12.5 mg twice daily and standard IHD medications, and group 2 (carvedilol group, n = 33), received aspirin 150 mg plus carvedilol 12.5 mg twice daily and standard IHD medications for three months. All patients were subjected to assessments for demographic data, anthropometric measurements, and biochemical measurements of the serum levels of malondialdehyde (MDA), 4-hydroxynonenal (4-HNE), prostaglandin E2 (PGE2), and gastrin-17 (GAS-17). The researchers also evaluated the Structured Assessment of Gastrointestinal Symptoms (SAGIS) questionnaire and the Seattle Angina Questionnaire (SAQ-7) to assess changes in the quality of life (QOL).</p><p><strong>Results: </strong>Three months post-treatment and relative to the control group, the carvedilol group exhibited significantly reduced serum levels of MDA (P2 = 0.003), 4-HNE (P2 < 0.001), and GAS-17 (P2 = 0.015), which was associated with significantly higher serum levels of PGE2 (P2 < 0.001). Additionally, the carvedilol group showed a significantly higher SAQ-7 score (P2 = 0.033) and a significantly lower SAGIS questionnaire score (P2 = 0.04) than the control group.</p><p><strong>Conclusion: </strong>Carvedilol could represent a potential gastroprotective agent for patients with IHD on aspirin therapy secondary to its efficacy and safety.</p><p><strong>Clinicaltrial: </strong>gov ID: NCT05553717.</p>","PeriodicalId":13551,"journal":{"name":"Inflammopharmacology","volume":" ","pages":""},"PeriodicalIF":5.3000,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical study evaluating the gastroprotective effect of carvedilol in patients with ischemic heart disease on aspirin therapy.\",\"authors\":\"Sarah M Elkablawy, Aliaa E Shaban, Tarek M Mostafa\",\"doi\":\"10.1007/s10787-025-01961-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and purpose: </strong>Despite its therapeutic benefits in ischemic heart disease (IHD) patients, using aspirin represents a significant risk of gastric ulcers. Therefore, this study aimed to inspect the gastroprotective potential of carvedilol in IHD patients undergoing aspirin treatment.</p><p><strong>Patients and methods: </strong>In this randomized, controlled parallel trial, 66 patients with IHD on aspirin therapy were assigned to group 1 (control, n = 33), received aspirin 150 mg plus captopril 12.5 mg twice daily and standard IHD medications, and group 2 (carvedilol group, n = 33), received aspirin 150 mg plus carvedilol 12.5 mg twice daily and standard IHD medications for three months. All patients were subjected to assessments for demographic data, anthropometric measurements, and biochemical measurements of the serum levels of malondialdehyde (MDA), 4-hydroxynonenal (4-HNE), prostaglandin E2 (PGE2), and gastrin-17 (GAS-17). The researchers also evaluated the Structured Assessment of Gastrointestinal Symptoms (SAGIS) questionnaire and the Seattle Angina Questionnaire (SAQ-7) to assess changes in the quality of life (QOL).</p><p><strong>Results: </strong>Three months post-treatment and relative to the control group, the carvedilol group exhibited significantly reduced serum levels of MDA (P2 = 0.003), 4-HNE (P2 < 0.001), and GAS-17 (P2 = 0.015), which was associated with significantly higher serum levels of PGE2 (P2 < 0.001). Additionally, the carvedilol group showed a significantly higher SAQ-7 score (P2 = 0.033) and a significantly lower SAGIS questionnaire score (P2 = 0.04) than the control group.</p><p><strong>Conclusion: </strong>Carvedilol could represent a potential gastroprotective agent for patients with IHD on aspirin therapy secondary to its efficacy and safety.</p><p><strong>Clinicaltrial: </strong>gov ID: NCT05553717.</p>\",\"PeriodicalId\":13551,\"journal\":{\"name\":\"Inflammopharmacology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":5.3000,\"publicationDate\":\"2025-09-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Inflammopharmacology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s10787-025-01961-1\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"IMMUNOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Inflammopharmacology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10787-025-01961-1","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"IMMUNOLOGY","Score":null,"Total":0}
Clinical study evaluating the gastroprotective effect of carvedilol in patients with ischemic heart disease on aspirin therapy.
Background and purpose: Despite its therapeutic benefits in ischemic heart disease (IHD) patients, using aspirin represents a significant risk of gastric ulcers. Therefore, this study aimed to inspect the gastroprotective potential of carvedilol in IHD patients undergoing aspirin treatment.
Patients and methods: In this randomized, controlled parallel trial, 66 patients with IHD on aspirin therapy were assigned to group 1 (control, n = 33), received aspirin 150 mg plus captopril 12.5 mg twice daily and standard IHD medications, and group 2 (carvedilol group, n = 33), received aspirin 150 mg plus carvedilol 12.5 mg twice daily and standard IHD medications for three months. All patients were subjected to assessments for demographic data, anthropometric measurements, and biochemical measurements of the serum levels of malondialdehyde (MDA), 4-hydroxynonenal (4-HNE), prostaglandin E2 (PGE2), and gastrin-17 (GAS-17). The researchers also evaluated the Structured Assessment of Gastrointestinal Symptoms (SAGIS) questionnaire and the Seattle Angina Questionnaire (SAQ-7) to assess changes in the quality of life (QOL).
Results: Three months post-treatment and relative to the control group, the carvedilol group exhibited significantly reduced serum levels of MDA (P2 = 0.003), 4-HNE (P2 < 0.001), and GAS-17 (P2 = 0.015), which was associated with significantly higher serum levels of PGE2 (P2 < 0.001). Additionally, the carvedilol group showed a significantly higher SAQ-7 score (P2 = 0.033) and a significantly lower SAGIS questionnaire score (P2 = 0.04) than the control group.
Conclusion: Carvedilol could represent a potential gastroprotective agent for patients with IHD on aspirin therapy secondary to its efficacy and safety.
期刊介绍：
Inflammopharmacology is the official publication of the Gastrointestinal Section of the International Union of Basic and Clinical Pharmacology (IUPHAR) and the Hungarian Experimental and Clinical Pharmacology Society (HECPS). Inflammopharmacology publishes papers on all aspects of inflammation and its pharmacological control emphasizing comparisons of (a) different inflammatory states, and (b) the actions, therapeutic efficacy and safety of drugs employed in the treatment of inflammatory conditions. The comparative aspects of the types of inflammatory conditions include gastrointestinal disease (e.g. ulcerative colitis, Crohn''s disease), parasitic diseases, toxicological manifestations of the effects of drugs and environmental agents, arthritic conditions, and inflammatory effects of injury or aging on skeletal muscle. The journal has seven main interest areas:
-Drug-Disease Interactions - Conditional Pharmacology - i.e. where the condition (disease or stress state) influences the therapeutic response and side (adverse) effects from anti-inflammatory drugs. Mechanisms of drug-disease and drug disease interactions and the role of different stress states
-Rheumatology - particular emphasis on methods of measurement of clinical response effects of new agents, adverse effects from anti-rheumatic drugs
-Gastroenterology - with particular emphasis on animal and human models, mechanisms of mucosal inflammation and ulceration and effects of novel and established anti-ulcer, anti-inflammatory agents, or antiparasitic agents
-Neuro-Inflammation and Pain - model systems, pharmacology of new analgesic agents and mechanisms of neuro-inflammation and pain
-Novel drugs, natural products and nutraceuticals - and their effects on inflammatory processes, especially where there are indications of novel modes action compared with conventional drugs e.g. NSAIDs
-Muscle-immune interactions during inflammation [...]
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