左心房功能的遗传决定因素与中风有关
Oliver B Vad1,2, Christian Paludan-Müller1,2, Søren Z Diederichsen1
1Department of Cardiology, The Heart Centre Copenhagen University Hospital - Rigshospitalet Copenhagen Denmark.
Journal of the American Heart Association
|November 22, 2024
概括
影响左心房功能的遗传因素,特别是被动空化分数,与中风风险增加有关,即使没有心房动. 这表明心房功能障碍本身是一个独立的中风风险因素.
科学领域:
- 心脏病学 心脏病学
- 遗传学 是一个遗传学.
- 神经学 神经学
背景情况:
- 心房动 (AF) 是已知的中风风险因素.
- 新出现的证据表明,心房心肌病可能会增加中风风险,独立于AF.
研究的目的:
- 为了研究左心房 (LA) 功能和体积的遗传决定因素.
- 评估对LA功能和中风风险的遗传因素之间的关联.
主要方法:
- 在380,017名没有先前中风或AF的英国生物库参与者中,为LA测量构建了多基因得分 (PGS).
- 使用具有竞争风险的时间到事件模型评估缺血性中风风险.
- 采用两个样本的门德尔随机化来探索LA测量和心血管栓塞性中风之间的因果关系.
主要成果:
- 对LA被动排空分量的PGS与缺血性中风风险增加有关.
- 在这个PGS的最低四分位数中的个人患缺血性中风的风险增加了12% (HR 1.12).
- 门德尔的随机化表明,更高的LA功能测量对心血管栓塞性中风具有保护作用.
结论:
- 对LA被动排空分数受损的遗传倾向与发生的缺血性中风有关,独立于AF.
- 这些发现凸显了心房功能障碍作为潜在的中风独立风险因素.
- 对LA功能的遗传洞察力可以为中风风险预测提供信息.
相关概念视频
Mitral Stenosis I: Introduction
2
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
2
Regulation of Stroke Volume
3.2K
The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
3.2K
Cardiac Output II: Effect of Stroke Volume on Cardiac Output
695
Cardiac output (CO), the amount of blood the heart pumps per minute, is a parameter in cardiovascular physiology determined by stroke volume and heart rate. Stroke volume, the amount of blood pushed from one of the ventricles per heartbeat, is influenced by preload, afterload, and contractility.
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
695
Pathophysiology of Heart Failure
1.5K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.5K
Pathophysiology of Cardiac Performance
566
Typical heart performance is influenced by heart rate, rhythm, myocardial contraction, and metabolism or blood flow. The cardiac muscle exhibits distinct electrophysiological features, including pacemaker activity and calcium channel control, which play a vital role in the heart's response to various drugs. The autonomic nervous system, comprising the sympathetic and parasympathetic branches, regulates heart rate. Sympathetic activation increases heart rate, while parasympathetic activation...
566
Imbalances in Cardiac Output
1.3K
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...
1.3K


