大动脉动脉瘤是由动脉样硬化引起的吗?
D Reed1, C Reed, G Stemmermann
1Honolulu Heart Program, HI 96817.
Circulation
|January 1, 1992
概括
高血压,胆固醇和吸烟等动脉样硬化风险因素与大多数大动脉动脉瘤有关. 这项为期20年的研究表明动脉样硬化是动脉瘤发展的关键因素.
科学领域:
- 心血管医学 心血管医学
- 流行病学 流行病学
- 病理学 病理学 病理学
背景情况:
- 研究了动脉样硬化在大动脉动脉瘤发育中的有争议作用.
- 利用了来自夏威夷的8000多名日本血统男性的20年随访数据.
研究的目的:
- 检查动脉样硬化风险因素与大动脉动脉瘤和剖析发生率之间的关系.
- 确定动脉样硬化是否是大动脉动脉瘤的因果途径中必要的组成部分.
主要方法:
- 分析临床事件事件 (大动脉动脉瘤和剖析) 和尸检数据.
- 确定了大动脉动脉样硬化和动脉瘤的基线风险因素.
- 对大动脉动脉瘤的风险因素与大动脉剖析的风险因素进行比较.
主要成果:
- 在174个临床事件中确定了151个大动脉动脉瘤和23个大动脉剖析.
- 大动脉动脉瘤的基线风险因素 (高血压,高胆固醇,吸烟) 与大动脉动脉样硬化的风险因素相似.
- 这些风险因素也与尸体解剖的男性的大动脉动脉瘤有关.
- 大动脉剖析显示了特定年龄的发病率,这表明先天的易感性和其他导致因素,主要是由高血压预测的.
结论:
- 动脉样硬化风险因素可能是必要的发展的大多数大动脉动脉瘤在这个队列.
- 动脉样硬化本身似乎是大多数大动脉动脉瘤的因果途径的一个关键因素.
- 这些发现对通过向动脉样硬化来预防大动脉动脉瘤有意义.
相关概念视频
Aortic Regurgitation I: Introduction
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Coronary Artery Disease II: Pathophysiology
Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
Heart Failure II: Pathophysiology
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...
Atherosclerosis I: Introduction
Atherosclerosis is a progressive disorder characterized by the buildup of plaques on the arterial inner wall, causing them to narrow and harden over time. These plaques comprise lipids, calcium, blood components, carbohydrates, and fibrous tissue. The process primarily affects the intima of large and medium-sized arteries, reducing blood flow in any artery.Etiology and risk factorsThe cause of atherosclerosis is multifactorial, involving a complex interplay among endothelial injury, lipid...
Peripheral Artery Disease I: Introduction
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...


