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[心房的分子生物学。心房颤动病理生理学的新见解及其临床意义]

[Molecular biology of the heart atrium. New insights into the pathophysiology of atrial fibrillation as well as its clinical implications].

作者信息

Goette A, Lendeckel U, Klein H U

机构信息

Otto-von-Guericke-Universitätsklinik Magdeburg, Klinik für Kardiologie, Angiologie und Pneumologie, Leipziger Str. 44, 39120 Magdeburg, Germany.

出版信息

Z Kardiol. 2004 Nov;93(11):864-77. doi: 10.1007/s00392-004-0147-4.

DOI:10.1007/s00392-004-0147-4
PMID:15568146
Abstract

Atrial fibrillation (AF) is the most common clinical arrhythmia and one of the most important factors for embolic stroke. In recent years, a tremendous amount has been learned about the pathophysiology and molecular biology of AF. Thus, pharmacologic interference with specific signal transduction pathways appears promising as a novel antiarrhythmic approach to maintain sinus rhythm and to prevent atrial clot formation. This review highlights the underlying molecular biology of atrial fibrillation, which may also be relevant for AF therapy.

摘要

心房颤动(AF)是最常见的临床心律失常,也是导致栓塞性中风的最重要因素之一。近年来,人们对AF的病理生理学和分子生物学有了大量了解。因此,对特定信号转导通路进行药物干预作为一种维持窦性心律和预防心房血栓形成的新型抗心律失常方法,似乎很有前景。本综述重点介绍了心房颤动的潜在分子生物学,这可能也与AF治疗相关。

相似文献

1
[Molecular biology of the heart atrium. New insights into the pathophysiology of atrial fibrillation as well as its clinical implications].[心房的分子生物学。心房颤动病理生理学的新见解及其临床意义]
Z Kardiol. 2004 Nov;93(11):864-77. doi: 10.1007/s00392-004-0147-4.
2
Nonchannel drug targets in atrial fibrillation.心房颤动中的非通道药物靶点。
Pharmacol Ther. 2004 Apr;102(1):17-36. doi: 10.1016/j.pharmthera.2004.01.001.
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[Morphological remodeling in atrial fibrillation].[心房颤动中的形态重塑]
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Non-ion channel blockers as anti-arrhythmic drugs (reversal of structural remodeling).非离子通道阻滞剂作为抗心律失常药物(结构重塑的逆转)。
Curr Opin Pharmacol. 2007 Apr;7(2):219-24. doi: 10.1016/j.coph.2006.09.006. Epub 2007 Feb 2.
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Br Med Bull. 2008;88(1):75-94. doi: 10.1093/bmb/ldn046. Epub 2008 Dec 5.
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Class 1 antiarrhythmic agents for therapy of atrial fibrillation.用于治疗心房颤动的Ⅰ类抗心律失常药物。
Herz. 1993 Feb;18(1):9-19.
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Aliskiren protecting atrial structural remodeling from rapid atrial pacing in a canine model.在犬类模型中,阿利吉仑可保护心房结构重塑免受快速心房起搏的影响。
Naunyn Schmiedebergs Arch Pharmacol. 2016 Aug;389(8):863-71. doi: 10.1007/s00210-016-1249-z. Epub 2016 Apr 27.
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New directions in antiarrhythmic drug therapy for atrial fibrillation.心房颤动抗心律失常药物治疗的新方向
Future Cardiol. 2013 Jan;9(1):71-88. doi: 10.2217/fca.12.78.
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Mechanisms of atrial remodeling and clinical relevance.心房重塑机制及其临床意义。
Curr Opin Cardiol. 2005 Jan;20(1):21-5.
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Pharmacotherapy of atrial fibrillation: a pathophysiological perspective and review.心房颤动的药物治疗:病理生理学视角与综述。
Am J Ther. 2011 May;18(3):241-60. doi: 10.1097/MJT.0b013e3181eea7c5.

引用本文的文献

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Angiotensin II antagonist in paroxysmal atrial fibrillation (ANTIPAF) trial: rationale and study design.阵发性心房颤动中的血管紧张素II拮抗剂(ANTIPAF)试验:原理与研究设计
Clin Drug Investig. 2007;27(10):697-705. doi: 10.2165/00044011-200727100-00005.
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Atrial fibrillation - patients at high risk for cerebral embolism.心房颤动——脑栓塞高危患者。
Clin Res Cardiol. 2006 Mar;95(3):148-53. doi: 10.1007/s00392-006-0344-4. Epub 2006 Jan 12.

本文引用的文献

1
Nonchannel drug targets in atrial fibrillation.心房颤动中的非通道药物靶点。
Pharmacol Ther. 2004 Apr;102(1):17-36. doi: 10.1016/j.pharmthera.2004.01.001.
2
Atrial extracellular matrix remodeling and the maintenance of atrial fibrillation.心房细胞外基质重塑与心房颤动的维持
Circulation. 2004 Jan 27;109(3):363-8. doi: 10.1161/01.CIR.0000109495.02213.52. Epub 2004 Jan 19.
3
Dissociation between ionic remodeling and ability to sustain atrial fibrillation during recovery from experimental congestive heart failure.
实验性充血性心力衰竭恢复过程中离子重塑与维持心房颤动能力之间的分离。
Circulation. 2004 Jan 27;109(3):412-8. doi: 10.1161/01.CIR.0000109501.47603.0C. Epub 2004 Jan 12.
4
17beta-estradiol antagonizes cardiomyocyte hypertrophy by autocrine/paracrine stimulation of a guanylyl cyclase A receptor-cyclic guanosine monophosphate-dependent protein kinase pathway.17β-雌二醇通过自分泌/旁分泌刺激鸟苷酸环化酶A受体-环磷酸鸟苷依赖性蛋白激酶途径拮抗心肌细胞肥大。
Circulation. 2004 Jan 20;109(2):269-76. doi: 10.1161/01.CIR.0000105682.85732.BD. Epub 2004 Jan 12.
5
The cardiac atria are chambers of active remodeling and dynamic collagen turnover during evolving heart failure.
J Am Coll Cardiol. 2004 Jan 7;43(1):68-76. doi: 10.1016/j.jacc.2003.07.030.
6
Role of the posterior left atrium and pulmonary veins in human lone atrial fibrillation: electrophysiological and pathological data from patients undergoing atrial fibrillation surgery.
Circulation. 2003 Dec 23;108(25):3108-14. doi: 10.1161/01.CIR.0000104567.72914.BF. Epub 2003 Dec 1.
7
Thrombomodulin and tissue factor pathway inhibitor in endocardium of rapidly paced rat atria.快速起搏大鼠心房心内膜中的血栓调节蛋白和组织因子途径抑制物
Circulation. 2003 Nov 18;108(20):2450-2. doi: 10.1161/01.CIR.0000102969.09658.F2. Epub 2003 Nov 10.
8
Effect of atrial fibrillation on hematopoietic progenitor cells: a novel pathophysiological role of the atrial natriuretic peptide?心房颤动对造血祖细胞的影响:心房利钠肽的一种新的病理生理作用?
Circulation. 2003 Nov 18;108(20):2446-9. doi: 10.1161/01.CIR.0000102968.19341.FC. Epub 2003 Nov 10.
9
Remodeling of cardiomyocyte ion channels in human atrial fibrillation.人类心房颤动中心肌细胞离子通道的重塑
Basic Res Cardiol. 2003 May;98(3):137-48. doi: 10.1007/s00395-003-0409-8.
10
Matrix metalloproteinases and atrial structural remodeling.
J Am Coll Cardiol. 2003 Jul 16;42(2):345-7. doi: 10.1016/s0735-1097(03)00585-0.