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长期吸烟对心肌血流,冠状动脉血管运动和血管扩展能力的影响
R Campisi1, J Czernin, H Schöder
1Ahmanson Biological Imaging Clinic/Nuclear Medicine, Department of Molecular and Medical Pharmacology, UCLA School of Medicine, Los Angeles, CA 90095-6948, USA.
Circulation
|July 29, 1998
概括
长期吸烟会损害冠心血管运动,特别是内皮依赖的反应,同时保持内皮独立的血管扩张. 吸烟的持续时间是这种损伤的一个关键因素.
科学领域:
- 心脏病学 心脏病学
- 血管生理学 血管生理学
- 核心脏病学 核心脏病学
背景情况:
- 在健康人群中,长期吸烟对冠心血管运动和血管扩展能力的影响尚不清楚.
- 评估吸烟者的内皮功能对于了解心血管风险至关重要.
研究的目的:
- 研究长期吸烟对冠状动脉血管运动和血管扩展能力的影响.
- 在吸烟者中区分内皮依赖和内皮独立的血管反应.
主要方法:
- 在16名长期吸烟者和17名非吸烟者中,使用[13N]氨和正子发射断层扫描 (PET) 测量了心肌动脉血流 (MBF).
- 血管运动反应被评估在静止状态,在冷压测试 (内皮依赖性) 和在二皮里达摩尔诱导的高血压 (内皮依赖性) 期间.
- 心肌血流被正常化为速率-压力乘积 (RPP),以考虑心脏工作负载的变化.
主要成果:
- 休息的MBF在各组之间没有差异. 冷压器测试显示吸烟者内皮依赖血管运动受损,与非吸烟者相比,MBF较低.
- 在冷压测试期间,吸烟者的正常化MBF下降,这表明冠状动脉血管运动存在缺陷,与多年吸烟有很强的相关性.
- 在二皮里达摩尔诱导的高血压和心肌流量储备期间,内皮独立血管扩张在长期吸烟者中被保留.
结论:
- 长期吸烟会损害内皮依赖于内皮的冠状动脉运动,可能是由于内皮功能障碍.
- 内皮独立的血管扩张保持不变,这表明保持了光滑肌肉放松.
- 冠状动脉血管运动障碍的严重程度与吸烟的累积暴露直接相关.
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