Risks of Opioids in ST-Elevation Myocardial Infarction: A Review

被引:5
|
作者
Tavenier, Anne Henrieke [1 ]
Hermanides, Renicus Suffridus [1 ]
Ottervanger, Jan Paul [1 ]
Ter Horst, Peter Gerrit Johannes [2 ]
Kedhi, Elvin [1 ]
van't Hof, Adriaan W. J. [3 ,4 ]
机构
[1] Isala, Dept Cardiol, Dr van Heesweg 2, NL-8025 AB Zwolle, Netherlands
[2] Isala, Dept Clin Pharm, Zwolle, Netherlands
[3] Maastricht Univ, Dept Cardiol, Med Ctr, Maastricht, Netherlands
[4] Zuyderland Med Ctr, Dept Cardiol, Heerlen, Netherlands
关键词
PERCUTANEOUS CORONARY INTERVENTION; PLATELET INHIBITION; MORPHINE USE; SEGMENT ELEVATION; TABLETS; PAIN; ACETAMINOPHEN; REMIFENTANIL; AGGREGATION; ASSOCIATION;
D O I
10.1007/s40264-018-0710-y
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Although opioids are recommended and frequently used in the acute phase of ST-elevation myocardial infarction (STEMI), their use is accompanied by serious side effects. In particular, gastrointestinal adverse effects may disturb absorption of essential oral medication like platelet inhibitors. This may cause suboptimal platelet inhibition and increased risk of acute stent thrombosis. Some clinical studies have already demonstrated these negative results. Alternative strategies to optimize platelet inhibition and pain relief in STEMI are being investigated. Clinicians should become more aware of the potential side effects of opioids in STEMI.
引用
收藏
页码:1303 / 1308
页数:6
相关论文
共 50 条
  • [41] Bivalirudin for patients with ST-elevation myocardial infarction
    Dwivedi, Girish
    Steed, Richard
    Chong, Aun Yeong
    LANCET, 2011, 378 (9807): : 1915 - 1915
  • [42] Pseudo - ST-elevation acute myocardial infarction
    Birnbaum, Yochal
    Wagner, Galen
    JOURNAL OF ELECTROCARDIOLOGY, 2007, 40 (01) : S45 - S46
  • [43] A young man with a ST-elevation myocardial infarction
    Kimman, Jesse R.
    van Leeuwen, Wouter J.
    Zijlstra, Felix
    EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING, 2020, 21 (09) : 958 - 958
  • [44] Polypharmacy: A reality in ST-elevation myocardial infarction
    Shavadia, J.
    Zheng, Y.
    McAlister, F. A.
    Welsh, R. C.
    Armstrong, P. W.
    Kaul, P.
    EUROPEAN HEART JOURNAL, 2017, 38 : 1205 - 1205
  • [45] Optimal pharmacological therapy in ST-elevation myocardial infarction-a review
    Hermanides, R. S.
    Kilic, S.
    van't Hof, A. W. J.
    NETHERLANDS HEART JOURNAL, 2018, 26 (06) : 296 - 310
  • [46] Complete Revascularization in ST-Elevation Myocardial Infarction?
    Kober, Lars
    NEW ENGLAND JOURNAL OF MEDICINE, 2017, 376 (13): : 1282 - 1284
  • [47] Oxygen therapy in ST-elevation myocardial infarction
    Xin, Yanguo
    Chen, Xin
    Hu, Wenyu
    EUROPEAN HEART JOURNAL, 2019, 40 (02) : 213 - 214
  • [48] Electrocardiographic diagnosis of ST-elevation myocardial infarction
    Atar, Shaul
    Barbagelata, Alejandro
    Birnbaum, Yochai
    CARDIOLOGY CLINICS, 2006, 24 (03) : 343 - +
  • [49] ST-Elevation Myocardial Infarction and Myelodysplastic Syndrome
    Jao, Geoffrey T.
    Knovich, Mary Ann
    Savage, Rodney W.
    Sane, David C.
    TEXAS HEART INSTITUTE JOURNAL, 2014, 41 (02): : 234 - 237
  • [50] Thrombolysis in ST-elevation myocardial infarction is not dead
    Kala, Petr
    EUROINTERVENTION, 2021, 16 (14) : 1129 - 1130