INFLUENCIA DE LA INFECCIÓN POR CHLAMYDIA PNEUMONIAE EN LA ARTERIOSCLEROSIS EN PACIENTES CON HIPERLIPEMIA.
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Aunque no parece haber asociación entre la presencia de anticuerpos contra clamidias y la arteriosclerosis de carótida, la infección por C. pneumoniae reduce la eficacia de la terapia hipolipemiante. |
participaron en la investigación
Yasunori Sawayama M.D.Ph.D.* Naoyasu Maeda M.D., Ph.D.** Masafumi Tatsukawa M.D.*** Kensuke Kikuchi M.D.**** Kyoko Okada M.D.*****
Department of General Medicine, Kyushu University Hospital.* Department of General Medicine, Kyushu University Hospital.** Department of Environmental Medicine and Infectious Diseases, Faculty of Medical Sciences, Kyushu University.*** Department of Environmental Medicine and Infectious Diseases, Faculty of Medical Sciences, Kyushu University.**** Department of Environmental Medicine and Infectious Diseases, Faculty of Medical Sciences, Kyushu University.*****
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Resumen
La relación entre arteriosclerosis e infección por Chlamydia pneumoniae es controvertida. Si bien la modificación de los factores de estilo de vida es una medida eficaz para retrasar la progresión de la enfermedad de carótida, el probucol y la pravastatina son más eficaces en reducir el nivel de colesterol total y en la estabilización de la placa de ateroma en sujetos con hipercolesterolemia, fenómenos que probablemente expliquen la disminución en la incidencia de eventos coronarios. En más de la mitad de la población adulta de todo el mundo se han encontrado anticuerpos contra C. pneumoniae por enzimoinmunoensayo. No pudimos demostrar una asociación entre la presencia de dichos anticuerpos y la arteriosclerosis de carótida en la población general y en sujetos en plan de hemodiálisis. Sin embargo, la infección por C. pneumoniae reduce la eficacia de la terapia hipolipemiante en la aterosclerosis carotídea. La terapia combinada con probucol y levofloxacina podría ser útil en la estabilización de la placa en pacientes con infección por C. pneumoniae.
Palabras clave
Arteriosclerosis de carótida, Chlamydia pneumoniae, probucol, pravastatina, levofloxacina
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Especialidades
Principal: Cardiología
Relacionadas: Epidemiología, Diagnóstico por Laboratorio, Medicina Interna
Artículo completo (castellano)
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INFLUENCE OF CHLAMYDIA PNEUMONIAE INFECTION ON THE ATHEROSCLEROSIS OF PATIENTS WITH HYPERLIPIDEMIA
Abstract
The relation of atherosclerosis and Chlamydia pneumoniae (C. pneumoniae) infection is controversial. Although lifestyle modification is an effective measure for retarding the progression of carotid IMT, probucol and pravastatin are more effective in reducing the TC level and stabilizing plaque in hypercholesterolemic patients, which probably explains a reduction in the incidence of cardiac events. Specific antibodies to C. pneumoniae have been found in more than half of the adult population by enzyme-linked immunosorbent assay in the world. We have failed to demonstrate an association between the presence of C. pneumoniae antibodies and carotid atherosclerosis in the general population and in hemodialysis paitents. However, C. pnemoniae infection reduced the effectiveness of lipid-lowering therapy for carotid atherosclerosis. The combination therapy of purobucol and levofloxacin may be a useful tool for the stabilization of plaque among patients with C. pnemoniae infection.
Key words
Carotid atherosclerosis, Chlamydia pneumoniae, probucol, pravastatín; levofloxacin
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Bibliografía del artículo
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