阿司匹林预防肾移植患者心血管事件的利弊及证据回顾

Advances in Preventive Medicine Pub Date : 2019-05-16 eCollection Date: 2019-01-01 DOI:10.1155/2019/6139253
Muhammad Abdul Mabood Khalil, Muhammad Shahab Ud Din Khalil, Said Sayed Ahmed Khamis, Sartaj Alam, Rajendra Govindrao Daiwajna, Ahmed Suleman Rajput, Mohammed M Alhaji, Vui Heng Chong, Jackson Tan
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引用次数: 7

摘要

肾移植受者具有传统和非传统的危险因素,可导致冠状动脉疾病和猝死,并伴有移植物功能丧失。阿司匹林传统上用于预防心脑血管事故。它对普通人群心血管事件的二级预防有有益作用。其用于初级预防仍有争议。出血和肾毒性的理论风险是其使用的主要问题。关于阿司匹林在肾移植人群中的应用数据很少。本综述将重点讨论阿司匹林用于预防肾移植受者心血管事件的各种利弊以及未来的发展方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pros and Cons of Aspirin Prophylaxis for Prevention of Cardiovascular Events in Kidney Transplantation and Review of Evidence.

Kidney transplant recipients have traditional and nontraditional risk factors which can lead to coronary artery disease and sudden death with a functional graft loss. Aspirin has been used traditionally for prevention of cardiovascular and cerebrovascular accidents. It has beneficial effects in secondary prevention of cardiovascular events in general population. Its use for primary prophylaxis is still disputed. Bleeding and theoretical risk of nephrotoxicity are the major concerns about its use. The data on aspirin in kidney transplant population is sparse. This review will focus on various pros and cons of aspirin use for prevention of cardiovascular events in kidney transplant recipients and a way forward.

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