血清皮质醇和心血管疾病风险 - 一个潜在的生物标志物
Wei Jet Oo1, Chooi Ling Lim1, Mun Hon Goh2
1Division of Applied Biomedical Science and Biotechnology, School of Health Sciences, IMU University, 126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, Malaysia.
Current cardiology reviews
|January 4, 2025
概括
血清皮质醇受压力和下丘脑-垂体-上腺 (HPA) 轴的影响,与心血管疾病 (CVD) 风险有关. 这篇评论探讨了皮质醇.
科学领域:
- 内分泌学 在内分泌学.
- 心脏病学 心脏病学
- 代谢综合征是代谢综合征的一种.
背景情况:
- 心血管疾病 (CVD) 是全球主要的死亡原因.
- "压力激素"皮质醇与心血管疾病风险有关,特别是与压力和库辛综合征有关.
- 脑下垂体上腺 (HPA) 轴调节皮质醇,在心血管疾病病理学中发挥作用.
研究的目的:
- 审查血清皮质醇在心血管疾病 (CVD) 进展和风险中的作用.
- 强调将皮质醇与心血管疾病联系起来的机制特征和参数.
- 讨论阻碍皮质醇作为心血管疾病风险生物标志物的临床使用的因素.
主要方法:
- 审查现有的科学文献和证据.
- 分析皮质醇水平与心血管疾病风险之间的关联.
- 检查代谢综合征和非代谢特征的影响.
- 考虑高皮质醇症治疗结果.
主要成果:
- 代谢综合征显著导致皮质醇介导的心血管疾病风险.
- 非代谢特征也在皮质醇与心血管疾病的关联中发挥作用.
- 对高皮质醇症的治疗可以降低心血管疾病的风险.
- 皮质醇作为心血管疾病生物标志物的临床实用性受到几个因素的限制.
结论:
- 血清皮质醇是心血管疾病进展和风险的重要因素.
- 了解皮质醇,HPA轴和心血管疾病之间的机制联系至关重要.
- 需要进一步的研究来克服使用皮质醇作为临床心血管疾病风险生物标志物的障碍.
相关概念视频
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
37
Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
37
Psychoneuroimmunology: Cardiovascular Disease
14
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
14
Blood Studies for Cardiovascular System I: Cardiac Biomarkers
63
Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
63
Blood Studies for Cardiovascular System III: Serum Lipid Profile
96
Understanding serum lipids is crucial for maintaining cardiovascular health and preventing heart disease and stroke.
Serum lipids are fats and fatty substances in the blood and are crucial for various bodily functions, including energy storage, cellular structure, and hormone production. Serum lipids consist of cholesterol, triglycerides, and phospholipids.
Cholesterol is a soft, fat-like substance found in all body cells. It is crucial for producing hormones, vitamin D, and substances that aid...
Serum lipids are fats and fatty substances in the blood and are crucial for various bodily functions, including energy storage, cellular structure, and hormone production. Serum lipids consist of cholesterol, triglycerides, and phospholipids.
Cholesterol is a soft, fat-like substance found in all body cells. It is crucial for producing hormones, vitamin D, and substances that aid...
96
Introduction to Stress and Lifestyle
42
Stress is a multifaceted response to events perceived as challenging or threatening, highlighting physical, emotional, cognitive, and behavioral reactions. Physically, stress can lead to fatigue, sleep disruptions, and various health issues such as frequent colds, chest pains, and nausea. Emotionally, it can manifest as anxiety, depression, irritability, and anger triggered by both minor and major life events. Cognitively, it may result in difficulty in concentration, memory, and...
42
Psychoneuroimmunology: Diabetes and Cancer
14
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
14


