摘要
在这篇综述中,我们探讨了 PCSK9 的作用以及 PCSK9 在急性心肌梗死 (MI) 后患者中的抑制作用。 尽管实施了循证疗法以改善预后,但一年死亡率仍保持在 12-15%,并且仍然需要进一步减少与 MI 相关的并发症。 机制和流行病学研究表明,天然存在的 PCSK9 蛋白通过多种途径增加冠状动脉斑块的易损性,包括促炎性 LDL-C 氧化和斑块组成的直接改变。 PCSK9 抑制剂是一类对近期 MI 患者有效的药物。 最新指南建议在治疗早期对近期 MI 患者使用 PCSK9 抑制剂,以降低 LDL-C 值和相关发病率。 使用 PCSK9 抑制剂可能有助于降低急性 MI 后的死亡率,应在适当的随机对照试验中进行测试。
关键词: 血脂、心肌梗塞、急性冠脉综合征、降脂、心血管疾病、PCSK9
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