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白天血皮质醇和皮质醇对甲抑制的反应与高血压中的前血栓状态有关
Gabriele Brosolo1, Andrea Da Porto2, Luca Bulfone1
1Internal Medicine and European Hypertension Excellence Center, Department of Medicine, University of Udine, Udine, Italy.
皮质醇水平升高和应激反应与高血压患者的前血栓状况有关. 这表明高血压患者的器官损伤和心血管并发症风险更高.
科学领域:
- 内分泌学 在内分泌学.
- 心血管医学 心血管医学
- 血液学 血液学 血液学
背景情况:
- 高血压与前血栓状况相关,有助于心血管和脏损伤.
- 库辛综合征的特征是皮质醇过多,已知会诱导前血栓状态.
研究的目的:
- 在高血压患者中研究皮质醇分泌和静血/纤维溶解系统之间的关系.
- 为了确定皮质醇概况和反应是否与高血压中的前血栓标记物有关.
主要方法:
- 研究了149名没有心血管/脏并发症的非糖尿病,基本高血压患者.
- 血液静止标志物 (D-二分体,F1+2,vWF) 和每日皮质醇水平 (AUC-皮质醇) 被测量.
- 评估了皮质醇对甲一夜间抑制 (DST-皮质醇) 的反应.
主要成果:
- 血D-二聚合物,F1+2和vWF水平随着AUC-皮质醇和DST-皮质醇的升高而显著增加.
- 这些原血栓标记与年龄和皮质醇测量直接相关.
- 皮质醇测量仍然是前血栓标记的重要预测因素,独立于年龄,BMI,血压和功能.
结论:
- 每日更高的皮质醇概况和压力反应独立地与高血压个体的前血栓状况有关.
- 这些发现表明器官损伤和高血压中心血管风险增加的潜在机制.
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