聚焦的是老年肺动脉
Dalma Horvat1, Lucia Agoston-Coldea2
12nd Department of Internal Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Advances in clinical chemistry
|August 24, 2024
概括
衰老显著影响肺动脉 (PA),影响心血管健康. 像心磁共振 (CMR) 这样的新型非侵入性方法对评估PA衰老和指导临床决策充满希望.
科学领域:
- 心血管医学 心血管医学
- 老年学是指老年学的学科.
- 血管生物学 血管生物学
背景情况:
- 全球预期寿命正在增加,这突出显示了衰老是心血管疾病的重要危险因素.
- 衰老通过内皮功能障碍,炎症和结构变化影响肺动力学,影响肺动脉 (PA).
- 肺动脉动脉样硬化是血管衰老的一个研究不足的方面.
研究的目的:
- 审查衰老引起的肺动脉变化的机制.
- 探索目前和新兴的技术来评估肺动脉衰老和血液动力学.
- 强调需要对人口老龄化进行全面评估.
主要方法:
- 对有关衰老,肺动脉和心血管风险因素的现有文献的审查.
- 讨论诊断方式,包括右心导管 (RHC),心声谱和心磁共振 (CMR) 影像.
- 对内皮功能障碍,炎症和结构改造等机制的分析.
主要成果:
- 老龄化导致PA结构和功能的显著变化,影响血液动力学.
- 右心腔导管 (RHC) 是血液动力学评估的黄金标准,但存在风险.
- 心声学对于查肺高血压 (PH) 是有用的,而CMR显示出对PA刚性和血液动力学的非侵入性评估有希望.
结论:
- 肺动脉衰老是老年人心血管健康的一个关键因素.
- 像CMR这样的非侵入性成像技术为评估PA衰老提供了先进的功能.
- 综合性评估策略对于管理全球人口老龄化中的心血管健康至关重要.
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