他汀类药物在老年人群中的合理应用

Tania Leme da Rocha Martinez
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摘要

血脂异常作为老年人的一个危险因素及其对发病率和死亡率的影响,至少在这个人群范围内仍然是一个有争议的话题。他汀类药物由于其降低LDL-c的作用,可以改善其他导致老年患者发病率和死亡率的疾病。这些多效性作用在他汀类药物的抗动脉粥样硬化作用中至关重要。最近描述的他汀类药物的多硝基特性也可能与非心血管益处有关。中年人和65岁以上老年人的病理过程相似,再加上流行病学数据,表明高胆固醇水平会导致老年人的高风险。血管造影研究表明,即使患有晚期循环系统疾病,老年人对降低胆固醇的治疗也有反应,风险降低。血脂异常在冠状动脉疾病的进展中起着关键作用,是老年人冠状动脉疾病相关事件的重要预测因素。他汀类药物被广泛认为是心血管疾病二级预防的有效疗法。尽管研究有限,但这种益处也应扩大到老年患者。他汀类药物被广泛认为是心血管疾病二级预防的有效疗法。尽管研究有限,但这种益处也应扩大到老年患者。考虑到65岁以上人口的惊人增长,包括寿命的延长,并且知道如果改变目前饮食错误、缺乏运动和治疗不足的状况,他汀类药物治疗无疑对所描述的这一人群的生存产生了非常积极的影响。
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Appropriate Use of Statins in The Elderly Population
Dyslipidemia as a risk factor in the elderly and its influence on morbidity and mortality remains a topic, at least, controversial for this population range. Statins, due to their LDL-c reducing effect, can improve other conditions that contribute to the morbidity and mortality of elderly patients. These pleitropic effects are of vital importance in the anti-atherosclerotic effect of statins. Pleitropic properties may also be involved in the non-cardiovascular benefits of statins, recently described. The similarity of pathological processes between middle-aged individuals and elderly people over 65 years of age, together with epidemiological data, confer that high cholesterol levels lead to a high risk in the elderly. Angiographic studies show that, even with advanced circulatory disease, the elderly respond to cholesterol-reducing therapy, with reduced risk. Dyslipidemia plays a key role in the progression of coronary artery disease and is an important predictor of coronary artery disease related events in elderly individuals. Statins are widely accepted as effective therapy for secondary prevention of cardiovascular disease. Although studies are limited, such benefits should also be extended to elderly patients. Statins are widely accepted as effective therapy for secondary prevention of cardiovascular disease. Although studies are limited, such benefits should also be extended to elderly patients. Taking into account the spectacular growth of the population over 65 years of age, including the increased longevity and knowing that if the current conditions of eating error, physical inactivity and inadequate treatment are modified, statin therapy undoubtedly represents a highly positive influence on the survival of this population group described.
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