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动脉钙化、慢性肾衰竭与钙拮抗作用

Arterial calcinosis, chronic renal failure and calcium antagonism.

作者信息

Marchais S J, Guerin A P, London G M

机构信息

Department of Neurology, Manhes Hospital, Fleury-Mérogis, France.

出版信息

Drugs. 1992;44 Suppl 1:119-22. doi: 10.2165/00003495-199200441-00022.

DOI:10.2165/00003495-199200441-00022
PMID:1283573
Abstract

A progressive rise in arterial calcium content is the most characteristic age-associated alteration in the arterial wall and the decisive factor in arteriosclerotic degeneration. Experimental studies have demonstrated that calcium antagonists can prevent or retard the development of arterial calcinosis associated with vitamin D overload, hypertension or alloxan-induced diabetes. Although similar effects are more difficult to observe in humans, they have been demonstrated in patients with coronary artery disease and in patients with end-stage renal disease, which is characterised by an acceleration of the normal arterial aging process.

摘要

动脉钙含量的逐渐升高是动脉壁最典型的与年龄相关的改变,也是动脉硬化性退变的决定性因素。实验研究表明,钙拮抗剂可预防或延缓与维生素D过量、高血压或四氧嘧啶诱导的糖尿病相关的动脉钙化发展。虽然在人类中更难观察到类似的效果,但在冠状动脉疾病患者和终末期肾病患者中已得到证实,终末期肾病的特点是正常动脉衰老过程加速。

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引用本文的文献

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本文引用的文献

1
Calcification of the Media of the Human Aorta and Its Relation to Intimal Arteriosclerosis, Ageing and Disease.人类主动脉中层钙化及其与内膜动脉硬化、衰老和疾病的关系。
Am J Pathol. 1944 Jul;20(4):665-87.
2
Arteriosclerosis and atherosclerosis. The need for clear thinking.动脉硬化与动脉粥样硬化。清晰思考的必要性。
Am J Med. 1963 Jan;34:7-18. doi: 10.1016/0002-9343(63)90035-4.
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Serum magnesium level and arterial calcification in end-stage renal disease.
Kidney Int. 1987 Sep;32(3):388-94. doi: 10.1038/ki.1987.222.
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Salt and water retention and calcium blockade in uremia.尿毒症中的水钠潴留与钙阻滞
Circulation. 1990 Jul;82(1):105-13. doi: 10.1161/01.cir.82.1.105.
5
Aortic and large artery compliance in end-stage renal failure.终末期肾衰竭患者的主动脉及大动脉顺应性
Kidney Int. 1990 Jan;37(1):137-42. doi: 10.1038/ki.1990.19.
6
Retardation of angiographic progression of coronary artery disease by nifedipine. Results of the International Nifedipine Trial on Antiatherosclerotic Therapy (INTACT). INTACT Group Investigators.硝苯地平延缓冠状动脉疾病血管造影进展。国际硝苯地平抗动脉粥样硬化治疗试验(INTACT)结果。INTACT研究组调查人员
Lancet. 1990 May 12;335(8698):1109-13. doi: 10.1016/0140-6736(90)91121-p.
7
Arteriosclerosis and antihypertensive response to calcium antagonists in end-stage renal failure.
J Cardiovasc Pharmacol. 1991;18 Suppl 1:S74-8.
8
Arterial calcification and pathology in uremic patients undergoing dialysis.接受透析治疗的尿毒症患者的动脉钙化与病理情况。
Am J Med. 1979 May;66(5):790-6. doi: 10.1016/0002-9343(79)91118-5.