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甲状腺和心血管疾病:提高知识,预防和治疗的研究议程
Anne R Cappola1, Akshay S Desai2, Marco Medici3
1Division of Endocrinology, Diabetes, and Metabolism, Perelman School of Medicine at the University of Pennsylvania, Philadelphia (A.R.C.).
Circulation
|May 14, 2019
概括
甲状腺功能障碍通过复杂的机制影响心血管健康. 未来的研究应该专注于了解这些联系,确定生物标志物,并开发有针对性的治疗方法,以改善患者的治疗结果.
科学领域:
- 心脏病学
- 内分泌学
- 分子生物学
背景情况:
- 甲状腺激素显著影响心血管功能.
- 关于心血管疾病患者甲状腺功能障碍的分子机制和最佳管理的知识差距仍然存在.
研究的目的:
- 确定研究重点,以了解甲状腺功能障碍在心血管疾病进展中的作用.
- 识别研究机会和新的方法,包括omics和大数据.
主要方法:
- 在2017年9月召开国家心脏,肺和血液研究所工作组.
- 对正常甲状腺生理学,功能障碍的后果以及对心脏电生理学,血管和心肌的治疗效果进行了审查.
- 讨论了障碍,挑战和未来的研究策略.
主要成果:
- 确定了三大研究领域:基础生物学和生物标志物,针对性治疗的患者子组识别,以及对心血管结果的临床试验.
- 强调需要研究甲状腺激素在心血管组织中的新生物标志物.
- 强调为特定的预防性和干预性心血管疾病治疗定义患者子组.
结论:
- 迫切需要研究甲状腺功能障碍与心血管疾病的基础生物学.
- 在甲状腺功能障碍患者中制定针对心血管疾病的预防和干预策略至关重要.
- 需要进行临床试验,以评估甲状腺激素或甲状腺仿制药对改善心血管功能和结果的有效性.
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