大麻和外周血管疾病:病理生理学,临床证据和心血管影响
Siddharth Pravin Agrawal1, Darshilkumar Maheta2, Jaisingh Rajput3
1From the Department of Medicine, New York Medical College/Landmark Medical Center, Woonsocket, RI.
Cardiology in review
|September 19, 2025
概括
大麻使用与诸如外围动脉疾病 (PAD) 等心血管风险有关. 新出现的证据表明,大麻可能会促进血管功能障碍和动脉样硬化,特别是在年轻人中.
科学领域:
- 心血管医学 心血管医学
- 血管生物学 血管生物学
- 药理学 药理学是指药理学的学科.
背景情况:
- 全球大麻使用量正在增加,原因是合法化和观念的变化.
- 大麻通常被认为是无害的,但有证据表明心血管风险.
- 外周动脉疾病 (PAD) 是与大麻使用相关的日益关注的问题.
研究的目的:
- 审查大麻使用与外围血管疾病之间的新兴联系.
- 探索生物机制和临床数据,将大麻与血管问题联系起来.
- 突出临床意识和进一步研究的需要.
主要方法:
- 现有文献的叙述性审查.
- 检查涉及Δ9-四大麻 (THC) 和内分泌系统的生物途径.
- 分析临床病例报告和基于人群的研究.
主要成果:
- 大麻使用可能会促进氧化应激,炎症和内皮功能障碍,导致动脉样硬化和PAD.
- 临床数据显示,大麻使用与诸如大麻动脉炎和增加PAD几率等疾病之间存在关联.
- 大麻使用与急性心血管事件有关,即使在没有传统风险因素的年轻人中也是如此.
结论:
- 大麻使用带来潜在的心血管风险,包括PAD,尽管公众对危害的看法很低.
- 临床医生应在血管风险评估中考虑使用大麻,特别是对年轻患者.
- 进一步的研究对于理解因果关系和为公共卫生战略提供信息至关重要.
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