1941. Routine Spironolactone in Acute Myocardial Infarction.
作者: Sanjit S Jolly.;Marc-André d'Entremont.;Bertram Pitt.;Shun Fu Lee.;Rajibul Mian.;Jessica Tyrwhitt.;Sasko Kedev.;Gilles Montalescot.;Jan H Cornel.;Goran Stanković.;Raul Moreno.;Robert F Storey.;Timothy D Henry.;Shamir R Mehta.;Matthias Bossard.;Petr Kala.;Ravinay Bhindi.;Biljana Zafirovska.;P J Devereaux.;John Eikelboom.;John A Cairns.;Madhu K Natarajan.;J D Schwalm.;Sanjib K Sharma.;Wadea Tarhuni.;David Conen.;Sarah Tawadros.;Shahar Lavi.;Valon Asani.;Dragan Topic.;Warren J Cantor.;Olivier F Bertrand.;Ali Pourdjabbar.;Salim Yusuf.; .; .
来源: N Engl J Med. 2025年392卷7期643-652页
Mineralocorticoid receptor antagonists have been shown to reduce mortality in patients after myocardial infarction with congestive heart failure. Whether routine use of spironolactone is beneficial after myocardial infarction is uncertain.
1949. Inebilizumab for Treatment of IgG4-Related Disease.
作者: John H Stone.;Arezou Khosroshahi.;Wen Zhang.;Emanuel Della Torre.;Kazuichi Okazaki.;Yoshiya Tanaka.;J Matthias Löhr.;Nicolas Schleinitz.;Lingli Dong.;Hisanori Umehara.;Marco Lanzillotta.;Zachary S Wallace.;Mikael Ebbo.;George J Webster.;Fernando Martinez Valle.;Manu K Nayar.;Cory A Perugino.;Vinciane Rebours.;Xinxin Dong.;Yanping Wu.;Qing Li.;Nishi Rampal.;Daniel Cimbora.;Emma L Culver.; .
来源: N Engl J Med. 2025年392卷12期1168-1177页
IgG4-related disease is a multiorgan, relapsing, fibroinflammatory, immune-mediated disorder with no approved therapy. Inebilizumab targets and depletes CD19+ B cells and may be effective for treating patients with IgG4-related disease.
1950. Tirzepatide for Obesity Treatment and Diabetes Prevention.
作者: Ania M Jastreboff.;Carel W le Roux.;Adam Stefanski.;Louis J Aronne.;Bruno Halpern.;Sean Wharton.;John P H Wilding.;Leigh Perreault.;Shuyu Zhang.;Ramakrishna Battula.;Mathijs C Bunck.;Nadia N Ahmad.;Irina Jouravskaya.; .
来源: N Engl J Med. 2025年392卷10期958-971页
Obesity is a chronic disease and causal precursor to myriad other conditions, including type 2 diabetes. In an earlier analysis of the SURMOUNT-1 trial, tirzepatide was shown to provide substantial and sustained reductions in body weight in persons with obesity over a 72-week period. Here, we report the 3-year safety outcomes with tirzepatide and its efficacy in reducing weight and delaying progression to type 2 diabetes in persons with both obesity and prediabetes.
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