性激素对心脏质量的影响
C S Hayward1, C M Webb, P Collins
1Department of Cardiac Medicine, National Heart and Lung Institute, Imperial College School of Medicine, SW3 6LY, London, UK.
Lancet (London, England)
|May 10, 2001
概括
随着年龄的增长,女性的左心室质量会增加,但男性不会增加,在压力下性别差异更大. 性激素的下降可能解释了心血管健康的这些差异.
科学领域:
- 心血管生理学心血管生理学
- 内分泌学 在内分泌学.
- 医学中的性别差异.
背景情况:
- 左心室质量增加是心血管发病率和死亡率的重要危险因素.
- 年龄和缩性刺激会导致两性之间左心室质量的明显变化.
- 这些基于性别的差异在50岁以上的个人和患有诸如高血压等病理状况的人中更为明显.
研究的目的:
- 为了研究内源性性激素度与左心室质量的性别特异变化之间的关系.
- 探索性激素下降对正常和病态状态下的男性和女性心室质量的相反影响.
主要方法:
- 该研究可能涉及分析现有数据或对与年龄,性别和荷尔蒙水平相关的左心室质量测量进行新的研究.
- 在不同年龄组和健康状况的男性和女性参与者之间的比较分析是核心的.
主要成果:
- 在女性中,左心室质量随着年龄的增长而增加,而在男性中则保持稳定.
- 左心室质量的性别差异在心脏负荷增加的条件下变得更加明显 (例如高血压,大动脉狭窄).
- 研究结果表明,内生性激素下降与这些观察到的性别特异性变化之间存在潜在的联系.
结论:
- 随着年龄的增长,内源性激素的正常下降可能对男性和女性的左心室质量产生相反的影响.
- 了解这些基于性别的荷尔蒙影响对于解决心血管风险差异至关重要.
相关概念视频
Pathophysiology of Cardiac Performance
2.2K
Typical heart performance is influenced by heart rate, rhythm, myocardial contraction, and metabolism or blood flow. The cardiac muscle exhibits distinct electrophysiological features, including pacemaker activity and calcium channel control, which play a vital role in the heart's response to various drugs. The autonomic nervous system, comprising the sympathetic and parasympathetic branches, regulates heart rate. Sympathetic activation increases heart rate, while parasympathetic activation...
2.2K
Exercise and Cardiac Output
3.8K
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
3.8K
Cardiac Output I:Effect of Heart Rate on Cardiac Output
3.4K
Cardiac Output
Cardiac output (CO) refers to the total amount of blood ejected by one of the ventricles in liters per minute (L/min). In a resting adult, CO ranges from 5 to 6 L/min, adjusting according to the body's metabolic requirements.
Effect of Heart Rate on Cardiac Output
Cardiac output adapts to metabolic demands during stress, physical activity, or illness. The autonomic nervous system regulates heart rate via the sinoatrial node. The parasympathetic nervous system decreases heart...
Cardiac output (CO) refers to the total amount of blood ejected by one of the ventricles in liters per minute (L/min). In a resting adult, CO ranges from 5 to 6 L/min, adjusting according to the body's metabolic requirements.
Effect of Heart Rate on Cardiac Output
Cardiac output adapts to metabolic demands during stress, physical activity, or illness. The autonomic nervous system regulates heart rate via the sinoatrial node. The parasympathetic nervous system decreases heart...
3.4K
Cardiac Output II: Effect of Stroke Volume on Cardiac Output
4.7K
Cardiac output (CO), the amount of blood the heart pumps per minute, is a parameter in cardiovascular physiology determined by stroke volume and heart rate. Stroke volume, the amount of blood pushed from one of the ventricles per heartbeat, is influenced by preload, afterload, and contractility.
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
4.7K
Heart Failure II: Pathophysiology
1.9K
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
1.9K
Cardiomyopathy III: Hypertrophic Cardiomyopathy
805
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
805


