Abstract:
:There is great concern over cardiovascular disease in the schizophrenic population owing to the high incidence of cardiovascular mortality. Increased cardiovascular mortality is related to lifestyle choices (e.g., smoking and sedentary lifestyle) and a high prevalence of comorbid medical conditions, including dyslipidemia, the metabolic syndrome and Type 2 diabetes. One factor that increases cardiovascular risk is the medications used to treat the core features of schizophrenia. Adverse cardiovascular effects of antipsychotic treatment have been recognized for many decades, especially tachycardia, orthostatic hypotension and rare instances of sudden death; but, since 2000, there has been a significant shift in the focus of risk perception. The older antipsychotic literature is replete with papers primarily concerned with the physiological consequences of muscarinic cholinergic antagonism, alpha(1)-adrenergic antagonism or receptors associated with cardiac conduction, but the current literature recognizes that, for most antipsychotic-exposed patients, the more significant cardiovascular burden of treatment is mediated by metabolic adverse effects such as weight gain, dyslipidemia and diabetes mellitus. The purpose of this review is to examine the cardiovascular risks of treatment with antipsychotic medications, elucidating relevant mechanisms and differences between various agents, especially for metabolic adverse effects seen with atypical antipsychotics.
journal_name
Expert Rev Neurotherjournal_title
Expert review of neurotherapeuticsauthors
Michelsen JW,Meyer JMdoi
10.1586/14737175.7.7.829subject
Has Abstractpub_date
2007-07-01 00:00:00pages
829-39issue
7eissn
1473-7175issn
1744-8360journal_volume
7pub_type
杂志文章,评审abstract:INTRODUCTION:Multiple Sclerosis is a chronic inflammatory demyelinating disease that affects 2.5 million people in the world. NEDA (No evidence of disease Activity) -4 is a new concept related to absence of disease activity in the context of MS. It takes into account the following four parameters: relapses; disability ...
journal_title:Expert review of neurotherapeutics
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journal_title:Expert review of neurotherapeutics
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更新日期:2004-07-01 00:00:00
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journal_title:Expert review of neurotherapeutics
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pub_type: 杂志文章,评审
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journal_title:Expert review of neurotherapeutics
pub_type: 杂志文章,评审
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更新日期:2013-07-01 00:00:00
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journal_title:Expert review of neurotherapeutics
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:Expert review of neurotherapeutics
pub_type: 杂志文章,评审
doi:10.1586/14737175.4.4.725
更新日期:2004-07-01 00:00:00
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更新日期:2011-02-01 00:00:00
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pub_type: 社论
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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更新日期:2010-12-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Expert review of neurotherapeutics
pub_type: 杂志文章,meta分析,评审
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更新日期:2008-10-01 00:00:00
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journal_title:Expert review of neurotherapeutics
pub_type: 杂志文章,评审
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更新日期:2012-08-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2016-09-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2006-10-01 00:00:00