在高血压心脏病中,透支功能障碍与心肌细胞代谢的改变有关
H J Lamb1, H P Beyerbacht, A van der Laarse
1Department of Radiology and Cardiology, University Medical Center, Leiden The Netherlands. Lamb@RULLF2.Medfac.Leidenuniv.nl
Circulation
|May 5, 1999
概括
高血压改变心肌高能酸盐代谢在患有高血压心脏病的患者. 这种代谢变化与左心室扩张功能受损有关,突出显示了心脏健康的关键联系.
科学领域:
- 心脏病学 心脏病学
- 生物化学 生物化学
- 医疗成像医学成像
背景情况:
- 高血压是一个普遍的临床问题,往往导致左心室 (LV) 缩和功能障碍.
- 高血压性心脏病对心肌高能酸盐 (HEP) 代谢的影响及其与LV功能障碍的关联仍然不清楚.
研究的目的:
- 在人类高血压心脏病中研究肌肉心脏HEP代谢的变化.
- 确定心肌高血压代谢变化和高血压患者的LV功能障碍之间的关系.
主要方法:
- 在11名高血压患者和13名健康对照中利用磁共振成像 (MRI) 和-31磁共振光谱 (31P-MRS).
- 评估的 LV 质量,透析功能参数 (例如,壁面稀薄的峰值速度,E/A 比率) 和心肌脂蛋白 (PCr) /ATP比率在静止状态和应力状态下.
主要成果:
- 与对照人群相比,高血压患者表现出增加的 LV 质量和受损的 LV 扩张功能.
- 心肌PCr/ATP比在高血压患者中显著降低,无论是在休息状态还是压力状态下.
- PCr/ATP比率与透静功能和心脏工作负载的测量相关.
结论:
- 在患有高血压心脏病的患者中,心肌高血压代谢发生变化.
- 在高血压患者中, LV 透静功能受损与心肌 HEP 代谢发生变化有关.
- 心肌PCr/ATP水平似乎受到心脏工作负荷的影响.
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