血小板の集積能力の朝の増加. 垂直した姿勢を想定した関連性
D A Brezinski1, G H Tofler, J E Muller
1Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115.
Circulation
|July 1, 1988
まとめ
朝の直立姿勢は,血小板の集積能力とプラズマカテキオラミンを著しく増加させ,この時期に心臓発作と突然の心臓死の増加を説明する可能性があります. この発見は,心血管疾患のリスクに対する姿勢の影響を強調しています.
科学分野:
- 心血管生理学 心血管の生理学
- ヘモスタシスとトランボシス
- クロノバイオロジー クロノバイオロジー
背景:
- 心筋梗塞と突然心臓死亡の頻度は,午前6時から昼12時の間でピークに達する.
- 午前中の血小板の蓄積性の増加は,これらの心血管疾患に寄与する可能性があります.
- 目覚め,起床,歩き回るなど,朝の活動は,血小板活動の増加を誘発すると疑われています.
研究 の 目的:
- 血小板の結合性の増加に起因する特定の朝の活動を特定する.
- 朝の心血管リスクにおける姿勢とカテキオラミン濃度の役割を調査する.
主な方法:
- 16人の健康な被験者がコントロールされた研究に参加しました.
- 血小板の集積は,目覚め,直立した姿勢をとり,歩行するなど,午前中の孤立した活動の後に測定されました.
- 血液サンプルを採取したのは,各活動の前と90分後でした.
- プラズマカテキオラミン (エピネフリン,ノレピネフリン) 濃度も分析した.
主要な成果:
- アデノシン・ディフォスファートとエピネフリンに対する血小板の反応は,直立した姿勢を仮定した後にのみ有意に増加しました.
- アグリゲビリティは午前9時30分から午前11時まで (直立後90分) 増加した.
- プラズマエピネフリンとノレピネフリンの濃度は,直立した姿勢を仮定した後に著しく上昇した.
結論:
- 朝,直立した姿勢をとることは,血小板の結合性を高める重要なトリガーです.
- 血小板結合性の上昇は,血カテキオラミン濃度の上昇と関連しています.
- この発見は,朝の習慣と血栓性心血管疾患のリスクの増加との間にメカニズム的な関連性を示しています.
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