パッシブ・喫煙と心臓病. メカニズムとリスク
1Department of Medicine, University of California, San Francisco 94143, USA.
JAMA
|April 5, 1995
まとめ
二手喫煙は,心臓への酸素供給を減らし,その機能を損なうことで,心血管の健康を害します. これは非喫煙者における致死性および非致死性心疾患のリスクを高めます.
科学分野:
- 心血管科学 心血管科学
- 毒理学 毒理学 毒理学
- 公衆衛生は公衆衛生である.
背景:
- パッシブ・喫煙,または二手喫煙への曝露は,重要な環境リスク因子です.
- 喫煙と心血管疾患を結びつける証拠が増えています.
研究 の 目的:
- 受動喫煙と心臓病に関する臨床的,実験的,流行病学的証拠をレビューする.
- 関連する生理学的,生化学的メカニズムを解明する.
主な方法:
- ピアレビューされた出版物の包括的な文献レビュー.
- 1990年以降に発表された研究に焦点を当てます.
- MEDLINEのデータ,引用,科学機関の報告書を含む.
主要な成果:
- パッシブ喫煙は,心臓の酸素供給と利用を阻害し,アデノシントライホスファートの生成を減少させます.
- 曝露は,血小板の活性が増加し,動脈硬化が加速し,イシュケミアまたは心筋梗塞の後の組織損傷が増加します.
- 心血管への影響は,一酸化炭素とニコチンを含む複数の煙の成分に起因する.
結論:
- 二手喫煙に曝された非喫煙者は,心臓発作のリスクが高くなります.
- そのメカニズムは,心筋が酸素の供給と利用を危うくすることが含まれる.
- 二手喫煙中の複数の有毒成分が,心血管損傷に寄与する.
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