药物基因组学在常用心血管药物管理中的临床应用。

Faaiq N Aslam, Artur Schneider, Nikita Jhawar, Razvan Chirila
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引用次数: 0

摘要

个体之间的基因组变异可以极大地影响他们对不同药物的反应。药物基因组学是一个研究领域,旨在了解这些不同的遗传变异和随后的药物反应之间的关系。许多用于优化心血管健康的药物都受到这些遗传变异的影响,这些关系随后会影响患者的给药策略。目的:综述药物基因组学在华法林、氯吡格雷、他汀类药物、受体阻滞剂、ACE-I/ arb等常用心血管药物中的临床应用。方法:利用PubMed等数据库收集药物基因组学的背景信息,并收集基因变异与后续药物反应之间的关系数据。通过访问CPIC和DPWG数据库获取临床应用和指南信息。结果:本文描述了与常用心血管药物相关的药物基因组学的最新数据。它还讨论了药物基因组学数据的临床应用,因为它与药物选择/剂量有关,详细介绍了临床药物遗传学实施联盟和荷兰药物遗传学工作组等组织发布的当前指南。结论:本文将有助于医务人员更好地理解药物基因组学,并将其应用于日常实践。与药物基因组学数据应用相关的临床指南以文本和图形形式进行了讨论,使提供者能够自信地选择药物并调整常见心血管药物的剂量,以便患者在最小毒性的情况下获得最大的治疗效益。
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Clinical Application of Pharmacogenomics in the Administration of Common Cardiovascular Medications.

Introduction: Genomic variations among individuals can greatly affect their responses to different medications. Pharmacogenomics is the area of study that aims to understand the relationship between these various genetic variations and subsequent drug responses. Many medications used to optimize cardiovascular health are affected by these genetic variants and these relationships can subsequently impact dosing strategies in patients.

Objective: This study aims to review the current literature on the clinical applications ofpharmacogenomics for commonly used cardiovascular medications such as Warfarin, Clopidogrel, Statins, Beta Blockers, and ACE-I/ARBs.

Methods: Databases like PubMed were accessed to gather background information on pharmacogenomics and to collect data on relationships between genetic variants and subsequent drug response. Information on clinical applications and guidelines was obtained by accessing the CPIC and DPWG databases.

Results: This article describes the most up-to-date data on pharmacogenomics relating to commonly used cardiovascular medications. It also discusses the clinical application of pharmacogenomic data as it pertains to medication selection/dosing by detailing current guidelines published by organizations such as the Clinical Pharmacogenetics Implementation Consortium and the Dutch Pharmacogenetics Working Group.

Conclusion: In conclusion, this paper will help medical providers not only better understand pharmacogenomics but also apply it in their day-to-day practice. Clinical guidelines relating to the application of pharmacogenomic data were discussed both in text and graphical format, allowing providers to confidently select medications and adjust doses for common cardiovascular medications so that patients receive the maximum therapeutic benefit with minimal toxicity.

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来源期刊
CiteScore
4.80
自引率
9.10%
发文量
55
期刊最新文献
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