在双相情感障碍中与左心室缩相关的炎症:一个横截面研究
Shang-Ying Tsai1, Pao-Huan Chen1, Cheng-Yi Hsiao2
1Department of Psychiatry, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Department of Psychiatry and Psychiatric Research Center, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan.
Journal of psychosomatic research
|August 26, 2023
概括
双极性障碍 (BD) 患者表现出心脏异常增加,如左心室缩 (LVH) 和高动态心脏. 低度炎症,特别是介质素-8和sTNF-R1,与这些心脏变化有关.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 免疫学 免疫学 免疫学
背景情况:
- 在双相情绪障碍 (BD) 和导致心力衰竭的心脏缩的病理生理学中,越来越多地认识到炎症.
- 调查BD相关的炎症标志物为BD患者提供了对心脏功能和结构的洞察.
研究的目的:
- 检查BD相关的炎症标志物与心脏左心室功能和结构之间的关系.
- 与健康对照人群相比,评估euthymicBD患者的心脏参数.
主要方法:
- 心声学被用来测量左心室质量指数 (LVMI) 对于缩和左心室射出分数 (LVEF) 对于缩功能.
- 超动态心脏被定义为LVEF>70%.
- 与炎症和动脉样硬化相关的标志物在60名BD患者和50名健康对照人群中被测量.
主要成果:
- 与对照组相比,BD患者的LVH (63%对42%) 和高动态心脏 (32%对2%) 的发病率较高.
- BD 患者的平均 LVMI 和 LVEF 值显著更高.
- 在调整了BMI和年龄后,在BD患者中,介质素-8与LVMI正相关,sTNF-R1与LVEF正相关.
结论:
- 年轻的成人BD患者经常出现LVH和高动力心脏,这可能表明腹功能障碍.
- 低度炎症可能是导致左心室缩和心脏功能障碍的关键机制.
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