以表心脂肪评估预测心血管风险
Giuseppe Calcaterra1, Ron T Varghese2, Maurizio Baroni3
1Former Professor of Pediatric Cardiology, Postgraduate Medical School of Cardiology, University of Palermo, Italy.
皮心脂肪组织是一个独特的脂肪库, 提供心脏保护, 但可以成为有害的疾病. 它的测量是可靠的心血管风险标志物,也是新疗法的目标.
科学领域:
- 心脏病学
- 代谢研究
- 脂肪组织生物学
背景情况:
- 皮心脂肪组织 (EAT) 是一个独特的内脏脂肪储存,具有独特的解剖学和代谢特征.
- EAT与心脏共享微循环,表明潜在的相互作用并影响心脏健康.
- 虽然EAT通常具有保护作用,但在病理条件下可能会对心肌和冠状动脉产生影响.
研究的目的:
- 审查心脏上脂肪组织在心脏风险中的作用的新证据.
- 强调EAT作为心脏病理发展的积极参与者.
- 讨论EAT作为心血管疾病的潜在可修改治疗点.
主要方法:
- 对心上脂肪组织的科学文献的综述.
- 对EAT的解剖学,代谢和转录特征的分析.
- EAT测量与各种心血管和代谢疾病的相关性.
主要成果:
- 它具有与棕色脂肪相似的特性,具有代谢和心脏保护功能.
- 在晚期冠状动脉疾病中发生EAT转录基因的下调.
- EAT厚度/体积测量与内脏脂肪,CAD,代谢综合征和心脏功能障碍相关.
结论:
- 皮心脂肪组织是心血管风险的可靠标志物.
- EAT是心脏病学的积极参与者,也是潜在的治疗点.
- 改善血管化,减肥和药物等干预措施可以恢复EAT的保护功能.
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