左西孟旦的作用机制及临床应用研究进展
被引量:13
摘要
左西孟旦由Orion制药公司开发用于治疗急性失代偿性心衰,具有双重作用机制。它可与一种影响心肌收缩的蛋白——肌钙蛋白c结合,使其对钙离子的敏感性增强,增加心脏收缩力,避免因钙过度蓄积而引起的心律失常;还可通过开放血管平滑肌上的ATP敏感型钾通道引起血管扩张。研究者认为左西盂旦影响心肌收缩和血管舒张作用进而增加心输出量的同时并不增加心肌的耗氧量。
出处
《中国基层医药》
CAS
2012年第23期3643-3644,共2页
Chinese Journal of Primary Medicine and Pharmacy
参考文献14
-
1Kivikko M, Antila S, Eha J, et al. Pharmacokinetics of levosimen- dan and its metabolites during and after a 24-hour continuous in fusion in patients with severe heart failure. Int J Clin Pharmaeol Ther,2002,40(10) :465-471.
-
2Gheorghiade M,Teerlink JR, Mebazaa A. Pharmacology of new a- gents for the acute heart failure syndrome. Am J Cardio1,2005,96 (6) :68-73.
-
3Ng TM. Levosimendan,a new calcium-sensitizing inotrope for heart failure. Pharmacotherapy ,2004,24 ( 10 ) : 1366-1384.
-
4Mebazaa A, Erhardt L. Levosimendan : a new dual-action drug in the treatment of acute heart failure. Int J Clin Pract, 2003,57 (5) :410-416.
-
5Cleland JG, Nikitin N, McGowan J. Levosimendan:first in a new class of inodilator for acute and chronic severe heart failure. Ex-pert Rev Cardiovasc Ther,2004,2( 1 ) :9-19.
-
6Kaheinen P, Pollesello P, Levijoki J. Effects of levosimendan and milrinone on oxygen consumption in isolated guinea-pig heart. J Cardiovasc Pharmaco1,2004,43 (4) :555-561.
-
7Paraskevaidis IA, Parissis LIT, Th Kremastinos D. Anti-inflammato- ry and antiapoptotie effects of levosimendan in decompensated heart failure:a novel mechanism of drug-induced improvement in contractile performance of the failing heart. Curr Med Chem Card- iovase Hematol Agents ,2005,3 ( 3 ) :243-247.
-
8Michaels AD, McKeown B, Kostal M, et al. Effects of intravenous levosimendan on human coronary vasomotor regulation, left ven- tricular wall stress, and myocardia loxygen uptake. Circulation, 2005,111 (12) : 1504-1509.
-
9Maytin M, Colucci WS. Cardioprotection:A new paradigm in the management of acute heart failure syndromes. Am J Cardiol, 2005,96 ( Suppl ) : 26 -31.
-
10Kyrzopoulos S, Adamopoulos S, Parissis JT, et al. Levosimendan reduces plasma B-type natriuretic peptide and interleukin 6, and improves central hemodynamics in severe heart failure patients. Int J Cardio1,2005,99 (3) :409-413.
二级参考文献20
-
1Lemos J, McGuire D, Drazner M, et al. B-type natriuretic piptide in cardiovascular disease J. Lancet,2003,362 (14) :316-322.
-
2Lee SC, Stevens TL, Sandberg SM, et al. The potential of brainna- triuretic peptide as a biomarker for New York Heart Association class during the outpatient treatment of heart failure. J Card Fail, 2002,8(3) :149-154.
-
3Dec GW. Acute decompensated heart failure:the shrinking role of inotropic therapy. Am Coll Cordial,2005,46( 1 ) :65-67.
-
4De Luca L, Colucci WS, Nieminen MS, et al. Evidence-based use of levosimendan in different clinical settings. Eur Heart, 2006,27 (16) : 1908-1920.
-
5Nieminen MS, Cleland JG, Eha J, et al. Oral levosimendan in patients with severe chronic heart failure-the PERSIST study. Eur J Heart Fail, 2008,10 ( 12 ) : 1246 -1254.
-
6Nieminen M. Levosimendan in Patients with Left Heart Failure After Acute Myocardial Infarction-Review of the RUSSLAN Study and Future Developments with Levosimendan. J Fur Kardiol, 2011,9 ( 3 ) :45-48.
-
7Dao Q, Krishnaswamy P, Kazanegra R, et al. Utilty of B-rype natriuretic peptide in the diagnosis of congestive heart failure from lung disease in patients presenting with dyspnea. J Am Coil Cardial, 2001,37(2) :379-385.
-
8Follath F, Cleland JG, Just H, et al. Efficacy and safety of intravenous levosimendan compared with dobutamine in severe low-output heart failure ( the LIDO study) : a randomized double-blind trial. Lancet,2002,360 (9328) : 196-202.
-
9Moiseyev VS, P? der P,Andrejevs N, et al. Safety and efficacy of a novel calcium sensitizer, Levosimendan, in patients with left ventricular failure due to an acute myocardial infarction. A randomized, placebo-controlled, double-blind study ( RUSSLAN ). Eur Heart J,2002,23 ( 18 ) : 1422-1432.
-
10Cleland JG, Ghosh J, Freemantel N, et al. Clinical trials update and cumulative meta-analyses from the American College of Cardiology: WATCH, SCD-HeFT, DINAMIT, CASINO, INSPIRE, STRATUS-US, RIO-Lipids and cardiac resynchronization therapy in heart failure. Eur J Heart Fail ,2004,6 (4) :501-508.
共引文献15
-
1俞珠峰.依那普利联合倍他乐克对原发性高血压合并心力衰竭的临床疗效研究[J].海峡药学,2013,25(1):71-73. 被引量:15
-
2张丽媛,贾志,郭牧,张云强,梁海青,田树光,宋昱.左西孟旦治疗失代偿性心功能不全的近期效果观察[J].中国综合临床,2013,29(12):1233-1237. 被引量:5
-
3左希宏,张艳玲,陈欢.左西孟旦治疗急性心肌梗死左心力衰竭患者的效果观察[J].中国综合临床,2014,30(1):52-54. 被引量:13
-
4王敏珍.依那普利联合美托洛尔治疗高血压的临床效果[J].中国当代医药,2014,21(21):107-108. 被引量:5
-
5宋荣刚,任静,李明.左西孟旦对急性心肌梗死并发心力衰竭患者LVEF及BNP水平的影响[J].当代医学,2015,21(22):142-143. 被引量:1
-
6李丽.左西孟旦治疗高龄老年难治性心力衰竭的临床评价[J].中国现代医生,2015,53(24):93-95. 被引量:4
-
7黄永照,韦慧芳.急性心肌梗死合并心力衰竭再灌注后早期应用洋地黄的近期疗效观察与系统评价[J].基层医学论坛,2015,19(22):3065-3066. 被引量:9
-
8陈奇.左西孟旦治疗慢性阻塞性肺疾病伴右心功能不全55例疗效研究[J].中国药业,2015,24(23):76-77. 被引量:6
-
9李骁飞,张彩霞,刘玲玲,尹刚.注射用益气复脉治疗急性心肌梗死合并左心力衰竭39例临床研究[J].河北中医,2016,38(2):262-264. 被引量:10
-
10王洪云,赵拥军,秦亮.左西孟旦治疗急性心肌梗死后左心衰竭LVEF、LVEDD以及NT-proBNP、hs-CRP的变化与临床意义[J].滨州医学院学报,2017,40(3):175-177. 被引量:11
同被引文献116
-
1Mcmurray JJ, Adamopoulos S, Anker SD,et al. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Di- agnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. De- veloped in collaboration with the Heart Failure Associa- tion (HFA) of the ESC[J]. Eur J Heart Fail,2012,14 (8) :803- 869.
-
2Rognoni A, Lupi A, Lazzero M, et al. Levosimendan: from basic science to clinical trials[J]. Recent Pat Card- iovasc Drug Discov, 2011,6 ( 1 ) : 9-15.
-
3McCann P, Hauptman PJ. Inotropic therapy., an im- portant role in the treatment of advanced symptomatic heart failure[J]. Med Clin North Am, 2012,96 (5) . 943-954.
-
4Ornerovic E, Waagstein F, Swedberg K. Is levosimen- dan better than dobutamine in acute heart failure in pa- tients on beta-blockade treatment? What is the evi dence? [J]. EurJ Heart Fail, 2010,12(4): 313-314.
-
5Paraskevaidis IA,Parissis JT, Kremastinos D. Anti in- flammatory and anti-apoptotic effects of levosimendan in decompensated heart failure: a novel mechanism of drug-induced improvement in contractile performance of the failing heart[J]. Curr Med Chem Cardiovasc Hema- tol Agents,2005,3(3) : 243-247.
-
6Gullestad L,Ueland T, Vinge LE, et al. Inflammatory cytokines in heart failure~ mediators and markers[J]. Cardiology, 2012,122(1) : 23-35.
-
7Palazzuoli A, Gallotta M, Quatrini I, et al. Natriuretic peptides (BNP and NT-proBNP): measurement and relevance in heart failure[J]. Vascular health and risk management,2010,6 (1) .411-418.
-
8努尔兰·阿合西塔依,马丽娜·艾山拜.左西孟旦治疗难治性心力衰竭40例分析.中国社区医师(医学专业),2011,13(28):17-18.
-
9陆再英;钟南山.内科学[M]北京:人民卫生出版社,2008286.
-
10Dec GW. Acute decompensated heart failure:the shrinking role of inotropic therapy[J].J Am Coil Cardio1,2005,(1):65-67.
引证文献13
-
1陆洋,张跃明,颜永进.左西孟旦对急性心力衰竭患者NT-proBNP和炎症反应标志物的影响[J].海南医学院学报,2013,19(11):1515-1517. 被引量:25
-
2左希宏,张艳玲,陈欢.左西孟旦治疗急性心肌梗死左心力衰竭患者的效果观察[J].中国综合临床,2014,30(1):52-54. 被引量:13
-
3王赛.左西孟旦在顽固性心力衰竭中的临床应用[J].中国实用医药,2014,9(25):32-33. 被引量:2
-
4宋永欣,李鹏,闫志兴,鲁召欣,官庆华,王君,安朋朋,张毅.左西孟旦治疗急性心力衰竭60例临床分析[J].中国基层医药,2014,21(24):3803-3805. 被引量:10
-
5贾静涛.左西孟旦对慢性心力衰竭室性心律失常的影响[J].中国医药导报,2016,13(9):169-172. 被引量:5
-
6宋维鹏,国强华,贾红丹,宋婷婷,刘丽.左西孟旦对老年急性心肌梗死合并心衰患者心功能及hs-CRP、IL-6、TNF-α水平的影响[J].海南医学院学报,2016,22(12):1264-1266. 被引量:67
-
7石华民.左西孟旦治疗急性失代偿性心力衰竭效果观察[J].人民军医,2017,60(4):365-367. 被引量:1
-
8卓碧,韦庆新,韦盛锴,何柳,覃薪宇.不同剂量瑞舒伐他汀对急性心肌梗死患者经皮冠状动脉介入治疗术后血清炎症因子及心功能相关指标的影响[J].山西医药杂志,2017,46(13):1551-1553. 被引量:23
-
9潘晓鸿,陈园园,方强.脉搏指示连续心排量监测左西孟旦在急性心肌梗死合并心源性休克老年患者中的应用[J].中国老年学杂志,2018,38(3):519-521. 被引量:22
-
10王冉冉,张英俊,马东星.非负荷剂量左西孟旦治疗老年重度慢性心力衰竭的临床疗效及其对患者心功能和血清炎性因子水平的影响[J].临床合理用药杂志,2018,11(18):43-46. 被引量:4
二级引证文献168
-
1蒲俊冬.脉搏指示连续心排量监测左西孟旦在急性心肌梗死合并心源性休克老年患者中的应用[J].心血管病防治知识(学术版),2020(21):3-5. 被引量:1
-
2柏丽莉.左西孟旦治疗急性心肌梗死合并充血性心力衰竭的临床价值分析[J].心理月刊,2019,0(21):187-187. 被引量:1
-
3曹修建.不同剂量瑞舒伐他汀对急性脑梗的治疗应用[J].临床心电学杂志,2019,0(5):358-361. 被引量:2
-
4曾冰,张莉,黄志勇.左西孟旦对二尖瓣置换患者心功能及血清炎症因子的影响[J].中国实用医刊,2019,46(19):99-101. 被引量:2
-
5高和平.脉搏指示连续心排血量监测(PICCO)在急性心肌梗死合并心源性休克治疗中的作用[J].心理月刊,2018(2):225-226. 被引量:1
-
6王淑华.瑞舒伐他汀在急性心肌梗死经皮冠状动脉介入治疗中的作用及最佳剂量分析[J].中国药物经济学,2018,13(11):116-118. 被引量:1
-
7赵青青,赵素玉,张慧红,梅益斌.左西孟旦治疗急性失代偿性心力衰竭近期疗效评价[J].药物流行病学杂志,2014,23(10):587-589. 被引量:4
-
8姜华,尹微.左西孟旦对老年慢性心衰失代偿期患者TNFα和NT-proBNP水平的影响[J].北华大学学报(自然科学版),2015,16(1):66-69. 被引量:5
-
9刘小宇,胡伟.左西孟旦与多巴酚丁胺治疗顽固性心力衰竭的预后对比[J].吉林医学,2014,35(36):8066-8068.
-
10江明芳,尚亚东,乔亮,俞瑞群,张家美.左西孟旦治疗心力衰竭效果的Meta分析[J].上海医学,2015,38(1):26-31. 被引量:9
-
1EMEA建议托瑞米芬增加新的禁忌证[J].中国药物警戒,2009,6(7):442-443.
-
2神经系统用药:02028 Novartis/Orion设法将恩他卡朋用于早期帕金森氏病[J].国外药讯,2001(2):15-15.
-
3矫文琪,李爱华.曲美他嗪治疗充血性心衰临床观察[J].中国社区医师,2005,21(18):21-21.
-
4王艳虹.倍他乐克与消心痛抗心绞痛的协同作用[J].中华医学研究与实践,2004,2(4):63-64. 被引量:3
-
5沈如华,严中亚.左西孟旦心脏围手术期应用研究进展[J].中国药业,2015,24(17):132-135. 被引量:4
-
6傅磊,祁宝成.参麦注射液对肺心病患者血流动力学和心功能的影响[J].海峡药学,2015,27(5):82-84.
-
7林朝胜,林建华,佟铭,王艳虹,浦波.倍他乐克与消心痛抗心绞痛的协同作用[J].中国心血管康复医学,1997,6(1):42-44.
-
8高天.老年难治性高血压[J].老年医学与保健,2005,11(2):71-73. 被引量:4
-
9金伟秋(摘).11107 瑞典禁止“较贵的”抗溃疡药受到起诉[J].国外药讯,2006(11):45-46.
-
10杨良,刘永久,李军涛.双波长紫外分光光度法测定头孢噻肟钠与维生素C配伍的稳定性实验[J].黑龙江医药科学,2001,24(4):52-52.