Mamamtavrishvili N D, Kvirkveliia A A, Abashidze R I, Sharashidze N S, Narsiia E V
Georgian Med News. 2008 Jul-Aug(160-161):30-4.
Significant role of immune inflammatory reactions along with activation of the RAAS (rennin-angiotensin-aldosterone system) and the sympatho-adrenal system in CHF (chronic heart failure) pathogenesis is considered in the present survey article. Together with haemodynamic disorders activation of inflammatory reactions, which involve anti-inflammatory cytokines, is shown to be one of the main factors affecting CHF course and prognosis. Alteration of cytokine level is associated with injury level, gravity of the disease course and its clinical outcome. Prognostic value of determination of inflammation mediators as predictors of cardiovascular diseases and clinical outcomes is evaluated. Urgency of search for new medication in addition to "traditional preparations" used for the treatment of CHF is shown.
本文综述了免疫炎症反应以及肾素-血管紧张素-醛固酮系统(RAAS)和交感-肾上腺系统的激活在慢性心力衰竭(CHF)发病机制中的重要作用。炎症反应的激活与血流动力学紊乱一起,涉及抗炎细胞因子,被证明是影响CHF病程和预后的主要因素之一。细胞因子水平的改变与损伤程度、疾病进程的严重程度及其临床结局相关。评估了炎症介质作为心血管疾病和临床结局预测指标的预后价值。还表明了除用于治疗CHF的“传统制剂”外,寻找新药物的紧迫性。