代谢类固醇使用者的心脏结构和功能:一项为期16年的随访研究
Tea Sætereng Fyksen1,2, Jørgen Gravning3,2, Anne Rossebø2
1Institute of Clinical Medicine, University of Oslo, Oslo, Norway t.s.fyksen@medisin.uio.no.
Open heart
|August 4, 2025
概括
长期使用类固醇类固醇 (AAS) 会导致显著的心脏变化,包括左心室排气分数受损. 即使在长时间使用后,停止使用AAS也可能使心脏状况得到改善.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 内分泌学 在内分泌学.
背景情况:
- 有限的长期数据存在于心脏变化在合成类固醇 (AAS) 用户.
- 了解AAS使用对心脏的后果对于临床实践和公共卫生至关重要.
研究的目的:
- 研究AAS对心脏结构和功能的长期影响.
- 为了比较长期使用AAS和非使用者之间的心脏结果.
主要方法:
- 前性队列研究设计,包括两个时间点检查.
- 心声图和冠状动脉CT血管图用于心脏评估.
- 血液和尿液分析验证了AAS的使用和不使用.
主要成果:
- 与非使用者相比,在基线时AAS使用者表现出左心室质量 (LVM) 的增加和左心室喷射率 (LVEF) 的减少.
- 持续使用AAS与随访时持续升高的LVM和LVEF受损有关.
- 停止使用AAS导致LVM和LVEF的改善,表明心脏恢复的潜力.
结论:
- 长期使用类固醇类固醇 (AAS) 与心肌重塑和左心室功能障碍有关.
- 在随访期间停止使用AAS显示出心脏结构和心功能改善的有希望的迹象.
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