کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5964264 1576131 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The effect of losartan on progressive aortic dilatation in patients with Marfan's syndrome: a meta-analysis of prospective randomized clinical trials
ترجمه فارسی عنوان
تأثیر لوزارتان بر پیدایش آئورت پیشرفته در بیماران مبتلا به سندرم مارفان: یک متاآنالیز کارآزمایی بالینی تصادفی آینده
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

ObjectiveTo assess the effect of losartan therapy on progressive aortic dilatation and on clinical outcome in patients with Marfan's syndrome (MFS).MethodsThe meta-analysis was instituted, which included studies identified by a systematic review of MEDLINE of peer-reviewed publications. Echocardiogram or MRI measurements of the aortic root dimension and outcome measures of death, cardiovascular surgery and aortic dissection or rupture were compared between patients who were treated and untreated with losartan therapy.ResultsSix randomized trials with 1398 subjects met all the inclusion criteria and were included in the meta-analysis. Compared with non-losartan treatment, losartan therapy significantly decreased the rate of aortic dilatation (SMD = − 0.13 with 95% CI − 0.25 to 0.00, p = 0.04). The clinical outcome beneficial was not observed in the losartan treatment group when compared with no losartan treatment group (odds ratio = 1.04 with 95% CI of 0.57-1.87).ConclusionGiven the current results of the meta-analysis and together with the lack of associated side effects, it would be reasonable to use losartan in MFS patients with aortic root dilatation. However, no clinical outcome benefits were observed in the losartan treatment group when compared with no losartan treatment group.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Cardiology - Volume 217, 15 August 2016, Pages 190-194
نویسندگان
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