随着年龄的增长,人类靠近的肺动脉变硬
Edward P Manning1,2, Priti Mishall3,4, Abhay B Ramachandra5
1Section of Pulmonary, Critical Care, and Pulmonary Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Physiological reports
|June 17, 2024
概括
衰老会使近端肺动脉 (PPA) 变硬,减少其延展性和应变,从而影响肺功能和心脏健康. 微观结构的变化,而不是几何变化,可能会导致这种与年龄相关的PPA硬化.
科学领域:
- 心血管生理学心血管生理学
- 肺部医学 肺部医学
- 生物医学工程 生物医学工程
背景情况:
- 大动脉硬化被系统理解,但近端肺动脉 (PPA) 的衰老影响尚不清楚.
- PPA硬化可能会影响肺循环和右心功能.
研究的目的:
- 为了研究与年龄相关的PPA特性变化.
- 为了将PPA的机械特性与肺和心脏功能相关联.
主要方法:
- 来自不同年龄组 (18-89岁) 的PPA的联合体内和体外分析.
- 评估PPA延展性,双轴应变,壁厚,直径和组成.
- 与扩散能力和右心室喷射率相关的PPA机制.
主要成果:
- 衰老与PPA延展性和循环双轴应变负相关.
- 随着年龄的增长,观察到周围和轴向应变的减少.
- 与肺扩散能力相关的PPA延展性;与RV喷射率相关的轴向应变.
- 随着年龄的增长,PPA的长度和口径增加,但墙壁厚度和组成保持不变.
- 与年龄相关的PPA硬化与微观结构重塑有关.
结论:
- 与年龄相关的PPA硬化不同于大动脉硬化.
- 微观结构改造,而不是几何变化,可能会导致PPA硬化.
- PPA的机械特性与心肺功能有关.
相关概念视频
Pulmonary Hypertension: Classification and Pathogenesis
168
Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
There are various classifications for PH, each relating to different underlying causes and also...
168
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
2.8K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
2.8K
Imbalances in Cardiac Output
1.4K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.4K
Arteries and Arterioles
3.5K
Arteries, the vasculature responsible for transporting blood from the heart, possess robust walls capable of enduring the elevated pressures exerted by the heartbeat. Arteries near the heart are especially thick-walled and enriched with elastic fibers across their three tunics, classifying them as elastic or conducting arteries. These arteries, usually with a diameter exceeding 10 mm, are characterized by their ability to dilate in response to the blood pumped from the heart's ventricles...
3.5K
Pressure Relationships in Thoracic Cavity
2.2K
Breathing, otherwise known as pulmonary ventilation, is the process of air movement into and out of the lungs. The main mechanisms propelling pulmonary ventilation are atmospheric pressure (Patm), intra-pulmonary (Ppul ) or intra-alveolar pressure (Palv) within the alveoli, and intrapleural pressure (Pip) within the pleural cavity.
Breathing Mechanisms
Both intra-alveolar and intrapleural pressures rely on specific lung properties. The ability to breathe—allowing air to enter the lungs...
Breathing Mechanisms
Both intra-alveolar and intrapleural pressures rely on specific lung properties. The ability to breathe—allowing air to enter the lungs...
2.2K
Factors Affecting Pulmonary Ventilation
1.3K
Besides the pressure difference between the external environment and the lungs, the airflow rate and ease of pulmonary ventilation are also influenced by three other factors: surface tension of the fluid in the alveoli, compliance of the lungs, and airway resistance.
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
1.3K


