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缺血值的循环节变化. 在缺血事件中的昼夜变化背后的一个机制
A A Quyyumi1, J A Panza, J G Diodati
1Cardiology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md 20892.
Circulation
|July 1, 1992
概括
冠状动脉疾病患者在心脏事件中经历了一个昼夜模式. 这项研究揭示了早上冠状动脉血管阻力增加,可能引发心脏事件.
科学领域:
- 心脏病学 心脏病学
- 循环节生物学 日间生物
- 血管生理学 血管生理学
背景情况:
- 在冠状动脉疾病 (CAD) 中观察到心脏事件的循环变化.
- 冠状动脉血管度在这些昼夜模式中的作用仍然不清楚.
- 缺血门,冠状动脉血管抵抗的指标,被用来评估血管度.
研究的目的:
- 为了研究稳定的CAD患者缺血值的昼夜变化.
- 为了确定冠状动脉血管度的变化是否有助于心脏事件的昼夜模式.
主要方法:
- 两组CAD患者在一天的不同时间接受了跑步机炼测试.
- 缺血门被测量为心率或心率-压力产物在1毫米的ST低压.
- 术后缺血前臂血管阻力使用张力计囊造影法测量.
主要成果:
- 观察到缺血值的显著昼夜变化,在早上和晚上较低.
- 后缺血前臂血流也显示出昼夜变化,早上和晚上较低.
- 在前臂血流和缺血门之间发现了强烈的相关性.
结论:
- 上午较低的缺血值表明缺血诱导的冠状动脉血管抵抗增加.
- 前臂和冠状动脉抵抗的并行变化表明了通用的 (神经或幽默) 因素.
- 增加的早晨冠状动脉音调可能会导致过渡性缺血和急性心脏事件.
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