REN Xue-yu, LI Ying-fei, LIU Hui-qing, et al. Anti-inflammatory Therapy Progress in Major Adverse Cardiac Events after PCI: Chinese and Western Medicine*[J]. Chinese Journal of Integrative Medicine, 2023,29(7):655-664.
REN Xue-yu, LI Ying-fei, LIU Hui-qing, et al. Anti-inflammatory Therapy Progress in Major Adverse Cardiac Events after PCI: Chinese and Western Medicine*[J]. Chinese Journal of Integrative Medicine, 2023,29(7):655-664. DOI: 10.1007/s11655-023-3638-8.
Acute coronary syndrome (ACS) is one of the leading causes of death in cardiovascular disease. Percutaneous coronary intervention (PCI) is an important method for the treatment of coronary heart disease (CHD)
and it has greatly reduced the mortality of ACS patients since its application. However
a series of new problems may occur after PCI
such as in-stent restenosis
no-reflow phenomenon
in-stent neoatherosclerosis
late stent thrombosis
myocardial ischemia-reperfusion injury
and malignant ventricular arrhythmias
which result in the occurrence of major adverse cardiac events (MACE) that seriously reduce the postoperative benefit for patients. The inflammatory response is a key mechanism of MACE after PCI. Therefore
examining effective anti-inflammatory therapies after PCI in patients with ACS is a current research focus to reduce the incidence of MACE. The pharmacological mechanism and clinical efficacy of routine Western medicine treatment for the anti-inflammatory treatment of CHD have been verified. Many Chinese medicine (CM) preparations have been widely used in the treatment of CHD. Basic and clinical studies showed that effectiveness of the combination of CM and Western medicine treatments in reducing incidence of MACE after PCI was better than Western medicine treatment alone. The current paper reviewed the potential mechanism of the inflammatory response and occurrence of MACE after PCI in patients with ACS and the research progress of combined Chinese and Western medicine treatments in reducing incidence of MACE. The results provide a theoretical basis for further research and clinical treatment.
关键词
炎症反应经皮冠状动脉介入治疗主要不良心血管事件抗炎治疗中医药
Keywords
inflammatory responsepercutaneous coronary interventionmajor adverse cardiac eventsanti-inflammatory therapyChinese medicine
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相关机构
Department of Cardiology, Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine
Department of Nephrology, the Key Laboratory for the Prevention and Treatment of Chronic Kidney Disease of Chongqing, Chongqing Clinical Research Center of Kidney and Urology Diseases, Xinqiao Hospital, Army Medical University (Third Military Medical University)
School of Chinese Medicine, School of Integrated Chinese and Western Medicine, Nanjing University of Chinese Medicine
The First Clinical Medical College, Nanjing University of Chinese Medicine
Department of Clinical Pharmacology, Affiliated Hospital of Nanjing University of Chinese Medicine