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Title 2. サクビトリルバルサルタンの特性 2) サクビトリルバルサルタンの作用機序と特徴
Subtitle 特集 心不全薬物療法の新展開 - サクビトリルバルサルタンの登場 -
Authors 江尻健太郎, 伊藤浩*
Authors (kana)
Organization *岡山大学大学院医歯薬総合研究科循環器内科学
Journal PROGRESS IN MEDICINE
Volume 41
Number 4
Page 355-359
Year/Month 2021 / 4
Article 報告
Publisher ライフ・サイエンス
Abstract 「はじめに」 サクビトリルバルサルタンはアンジオテンシン受容体ネプリライシン阻害薬(angiotensin receptor neprilysin inhibitor: ARNI)であり, 左室駆出率が低下した心不全(HFrEF)に対する治療薬である. ARNIは2015年に欧米でHFrEFに対して認可され, わが国でも2020年に保険収載された比較的新しい薬剤である. 慢性心不全, 特にHFrEFに対する薬物治療はここ数年でARNIをはじめとしてナトリウム・グルコース共輸送体(SGLT)2阻害薬が登場し, 可溶性グアニル酸シクラーゼ刺激薬が市販を控え, 心筋ミオシン活性化薬がHFrEF患者でポジティブな結果が示されたなど, 大きく変化しつつある. HFrEF治療薬が増えた現在, 薬剤選択における薬理作用を理解することの重要性は増している. 本稿ではARNIの薬理作用とその特徴を解説する.
Practice 医学総合
Keywords
  • 全文ダウンロード: 従量制、基本料金制の方共に968円(税込) です。

参考文献

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