瑞舒伐他汀/依zetimibe (Trezete®)固定剂量联合治疗血脂异常患者的脂质特征、治疗目标和安全性的真实世界证据评估

IF 1.8 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Cardiology Research and Practice Pub Date : 2022-09-10 eCollection Date: 2022-01-01 DOI:10.1155/2022/9464733
Joel Rodríguez-Saldaña, Francisco Padilla-Padilla, Ernesto G Cardona-Muñoz, Yulia Romero-Antonio, María Marcela Arguedas-Núñez, José G Sander-Padilla, Alberto Martínez-Muñoz, Laura A Lugo-Sánchez, Ileana C Rodríguez-Vazquez, Jorge González-Canudas
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引用次数: 0

摘要

导读:心血管疾病是世界范围内导致死亡的主要原因。他汀类药物和胆固醇吸收抑制剂的联合使用促进了危险因素的减少,如高浓度的低密度脂蛋白。该研究的目的是评估脂质谱的变化和对治疗目标的影响,以及使用瑞舒伐他汀/依zetimibe (Trezete®)治疗血脂异常患者的安全性。材料和方法:通过回顾在常规医疗实践中使用Trezete®治疗的血脂异常患者的临床记录,进行了一项真实世界证据研究。临床记录包括治疗前生化指标的结果以及8 - 16周之间至少一次随访。结果:纳入103例临床资料,其中男性55.4%,平均年龄56.0±13.0岁。超过57%的患者患有混合性血脂异常,中位疾病进展为3.1 (IQR, 1.5;9.1)年。LDL浓度方面,72.8%的患者按照心血管风险(CVR)达到治疗目标,差异有统计学意义。结论:Trezete®在治疗血脂异常患者过程中,对cvr相关目标标志物具有重要的临床影响。值得一提的是,在治疗的头几个月,有很大比例的患者达到了治疗目标。固定剂量联合疗法已被证明与单一疗法一样安全。ClinicalTrials.gov标识符:NCT04862962。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Real-World Evidence Evaluation on the Lipid Profile, Therapeutic Goals, and Safety of the Fixed-Dose Combination of Rosuvastatin/Ezetimibe (Trezete®) in Dyslipidemia Patients.

Introduction: Cardiovascular diseases are the leading cause of death worldwide. The combination of statins and cholesterol-absorption inhibitors promotes the decrease in risk factors, such as high concentrations of LDL (low-density lipoproteins). The aim of the study was to evaluate changes in the lipid profile and the effect on therapeutic goals, as well as the safety of dyslipidemia patients treated with Rosuvastatin/Ezetimibe (Trezete®).

Materials and methods: A real-world evidence study was conducted with retrospective data collection through a review of clinical records from dyslipidemia patients treated with Trezete® in routine medical practice. Clinical records included results of biochemical markers before treatment and at least one follow up between weeks 8 and 16.

Results: The study included 103 patients' clinical records (55.4% men) with a mean age of 56.0 ± 13.0 years. More than 57% of the patients had mixed dyslipidemia and a median disease progression of 3.1 (IQR, 1.5; 9.1) years. Regarding LDL concentrations, 72.8% of the patients achieved therapeutic goals according to cardiovascular risk (CVR), which was statistically significant. Similarly, 94.1% achieved goals for total cholesterol (<200 mg/dL) and 56.0% for triglycerides (<150 mg/dL), a p value <0.001. No cardiovascular events were observed.

Conclusion: Trezete® shows an important clinical impact on CVR-related target markers during the treatment of dyslipidemia patients. It is relevant to mention that a significant percentage of patients achieved therapeutic goals during the first months of treatment. Fixed-dose combination therapy has shown to be as safe as monotherapy treatment. ClinicalTrials.gov Identifier: NCT04862962.

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来源期刊
Cardiology Research and Practice
Cardiology Research and Practice Medicine-Cardiology and Cardiovascular Medicine
CiteScore
4.40
自引率
0.00%
发文量
64
审稿时长
13 weeks
期刊介绍: Cardiology Research and Practice is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies that focus on the diagnosis and treatment of cardiovascular disease. The journal welcomes submissions related to systemic hypertension, arrhythmia, congestive heart failure, valvular heart disease, vascular disease, congenital heart disease, and cardiomyopathy.
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