A Prospective Study of the Prevalence of Primary Aldosteronism in 1,125 Hypertensive Patients

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• 作者：Gian Paolo Rossi ; Giampaolo Bernini ; Chiara Caliumi ; Giovambattista Desideri ; Bruno Fabris ; Claudio Ferri ; Chiara Ganzaroli ; Gilberta Giacchetti ; Claudio Letizia ; Mauro Maccario ; Francesca Mallamaci
• 关键词：AHA Scientific Statements ; thrombosis ; myocardial infarction ; stents ; myocardial stunning
• 刊名：Journal of the American College of Cardiology
• 出版年：2006
• 出版时间：5 December 2006
• 年：2006
• 卷：48
• 期：11
• 页码：2293-2300
• 全文大小：480 K

文摘

Dual antiplatelet therapy with aspirin and a thienopyridine has been shown to reduce cardiac events after coronary stenting. However, many patients and healthcare providers prematurely discontinue dual antiplatelet therapy, which greatly increases the risk of stent thrombosis, myocardial infarction, and death. This advisory stresses the importance of 12 months of dual antiplatelet therapy after placement of a drug-eluting stent and educating the patient and healthcare providers about hazards of premature discontinuation. It also recommends postponing elective surgery for 1 year, and if surgery cannot be deferred, considering the continuation of aspirin during the perioperative period in high-risk patients with drug-eluting stents.