酸盐和心血管风险:在临床实践中呼吁提高认识
Giuseppe Biondi-Zoccai1,2, Vassilios S Vassiliou3,4, Maria Camilla Palumbo1
1Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.
Journal of cardiovascular pharmacology
|July 18, 2025
概括
酸盐是常见的塑化剂,通过各种机制破坏心血管健康. 减少患者暴露对于预防伤害和改善心血管护理至关重要.
科学领域:
- 环境毒理学环境毒理学
- 心血管医学 心血管医学
- 塑化剂的健康风险 塑化剂的健康风险
背景情况:
- 酸盐是广泛使用的工业和医疗可塑剂.
- 越来越多的证据将甲酸盐暴露与心血管健康障碍联系起来.
- 无处不在的暴露构成重大威胁,特别是对心血管患者.
研究的目的:
- 审查甲酸盐暴露对心血管健康的多因素风险.
- 突出临床环境和弱势群体中的催化剂暴露.
- 倡导关于酸盐使用的监管和临床实践变化.
主要方法:
- 临床前模型的审查 (心肌细胞到整个动物).
- 对全球心血管负担的流行病学研究的分析.
- 在医疗程序中检查iatrogenic暴露路径.
主要成果:
- 酸盐通过氧化应激,线粒体功能障碍和内分泌干扰诱导心脏毒性.
- 流行病学数据表明,全球有相当大的心血管影响.
- 在脆弱的患者和弱势群体中,阳性暴露是一个重大问题.
结论:
- 不一致的法规和有限的临床意识阻碍了甲酸盐风险管理.
- 迫切需要对实践进行重新评估,整合环境毒理学,并采用无甲酸盐材料.
- 纵向研究和生物标志物监测对于量化累积风险至关重要.
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