Клинические и генетические аспекты индивидуальной чувствительности к действию статинов у больных ишемической болезнью сердца с высоким риском развития неблагоприятных исходов
Диссертация
Широко обсуждается возможность включения в стратификационные шкалы генетических факторов, так как именно они более чем на 50% определяют риск развития ССЗ, при этом их роль в оценке риска у больных с ИБС изучена недостаточно. Методы генетического типирования становятся все более доступными в клинической практике, что позволяет оценить генетический риск развития заболевания и выработать новые… Читать ещё >
Содержание
- СПИСОК СОКРАЩЕНИЙ
- ГЛАВА 1. ОБЗОР ЛИТЕРАТУРЫ
- 1. 1. Роль статинов в профилактике и лечении сердечно-сосудистых заболеваний
- 1. 2. Фармакогенетические исследования статинов
- 1. 2. 1. Фармакогенетические исследования метаболизма статинов
- 1. 2. 2. Фармакогенетические исследования метаболизма липидов
- 1. 2. 3. Фармакогенетические исследования нелипидных эффектов статинов
- 2. 1. Протокол исследования
- 2. 1. 1. Изучение риска развития неблагоприятных исходов у больных перенесших обострение ИБС
- 2. 1. 2. Фармакогенетическое исследование статинов
- 2. 2. Клиническая характеристика обследованных групп больных
- 2. 3. Определения
- 2. 4. Методы обследования
- 2. 4. 1. Эхокадиографическое обследование
- 2. 4. 2. Цветное дуплексное сканирование экстракраниальных отделов брахиоцефальных артерий
- 2. 4. 3. Исследование крови
- 2. 4. 3. 1. Биохимическое исследование крови
- 2. 4. 3. 2. Исследование полиморфизма генов
- 3. 1. Прогностическое влияние полиморфного маркера Trp719Arg гена KIF6 на риск развития неблагоприятных исходов у больных, перенесших обострение ИБС
- 3. 2. Фармакогенетическое исследование статинов
- 3. 2. 1. Индивидуальная чувствительность к аторвастатину 10 и
- 80. мг/сут
- 3. 2. 1. 1. Генетические аспекты индивидуальной чувствительности к аторвастатину
- 3. 2. 2. Индивидуальная чувствительность к симвастатину мг/сут
- 3. 2. 2. 1. Генетические аспекты индивидуальной чувствительности к симвастатину
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