双极性疾病患者心血管疾病的病理生理机制
Dhiya Ram1, Sukriti Prashar1, Niraj Pathak1
1Internal Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Cureus
|October 27, 2025
概括
双极性障碍 (BD) 通过遗传,炎症和氧化应激途径显著增加心血管疾病 (CVD) 风险,而不仅仅是药物副作用. 了解这些机制是预防性患者护理和降低死亡率的关键.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 遗传学 是一个遗传学.
背景情况:
- 双极性障碍 (BD) 与高心血管疾病 (CVD) 死亡率有关.
- 抗精神病药物部分解释了这种关联,但其他因素也很重要.
研究的目的:
- 系统地审查驱动BD患者心血管疾病的病理生理机制,超出药理和心理社会因素.
- 分析遗传,炎症,内皮,氧化应激和结构性心血管因素.
主要方法:
- 在EMBASE,OVID和Web of Science数据库中进行系统搜索.
- 选了282篇文章,包括31项研究在四位作者审查后.
- 将数据综合成五种类型的病理生理机制.
主要成果:
- 确定了129个BD和CVD之间共享的遗传位置,与与心肌病和心律失常相关的特定多态.
- 在BD中炎症标志物升高通过氧化应激促进动脉动脉产生,增加冠状动脉和左心室质量.
- 在BD患者中,炎症和内皮功能障碍与情绪不稳定相关.
结论:
- 基本上,BD是一种导致心血管疾病风险的炎症状况.
- 建议对多种病理生理机制进行主动评估,以确定BD患者心血管疾病风险.
- 对遗传生物标志物的进一步研究对于理解BD中的心血管疾病病原体至关重要.
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