大型β-thalassemia患者的动脉硬和内皮功能
Y F Cheung1, Godfrey C F Chan, S Y Ha
1Division of Paediatric Cardiology, Grantham Hospital, The University of Hong Kong, China. xfcheung@hkucc.hku.hk
Circulation
|November 13, 2002
概括
贝塔thalassemia主要患者表现出增加的动脉硬和内皮功能障碍,以及左心室缩. 这些心血管变化可能会降低心脏机械效率.
科学领域:
- 心血管医学 心血管医学
- 血液学 血液学 血液学
- 血管生物学 血管生物学
背景情况:
- 增加的铁储量与心血管疾病风险有关.
- 结构性动脉变化和体内内皮质功能障碍在β-thalassemia major中被注意到.
- 在这些患者体内动脉硬和内皮功能需要调查.
研究的目的:
- 在患有β-thalassemia major的患者中评估动脉硬性和内皮功能.
- 为了比较β-thalassemia主要患者的血管参数与健康对照.
- 探索血管参数和左心室质量之间的相关性.
主要方法:
- 心声学评估左心室 (LV) 质量和功能.
- 动脉硬度通过硬度指数 (心状动脉) 和脉冲波速度 (PWV) (臂辐射) 测量.
- 通过流媒扩张 (FMD) 和甘三酸盐反应评估内皮功能.
主要成果:
- 与对照人群相比,患者表现出增加的LV质量,动脉硬度指数和手臂辐射PWV.
- 在患者中观察到流媒体扩张 (FMD) 障碍,而甘三酸盐反应被保留.
- 动脉硬度与口病相反相关,与 LV 质量相对正相关,但与费里水平无相关.
结论:
- 大型β-thalassemia与动脉硬度增加和内皮功能障碍有关.
- 在这些患者中存在左心室缩.
- 这些血管和心脏变化可能会损害心脏的机械效率.
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