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患有多囊卵巢综合征的女性的心血管风险

Cardiovascular Risk in Women With PCOS.

作者信息

Scicchitano Pietro, Dentamaro Ilaria, Carbonara Rosa, Bulzis Gabriella, Dachille Annamaria, Caputo Paola, Riccardi Roberta, Locorotondo Manuela, Mandurino Cosimo, Matteo Ciccone Marco

机构信息

Section of Cardiovascular Diseases, Department of Emergency and Organ Transplantation, University of Bari, School of Medicine, Policlinico, Bari, Italy.

出版信息

Int J Endocrinol Metab. 2012 Fall;10(4):611-8. doi: 10.5812/ijem.4020. Epub 2012 Sep 30.

Abstract

Polycystic ovary syndrome (PCOS), or Stein-Leventhal syndrome, is a common endocrine disorder defined by two of the three following features: i) oligoovulation or anovulation, ii) clinical and/or biochemical signs of hyperandrogenism, or iii) polycystic ovaries, once the related endocrinological and gynaecological disorders have been excluded. PCOS does not exclusively involve the reproductive apparatus , it has a complex number of systemic relevancy symptoms. It leads to Metabolic Syndrome, with severe consequences on the cardiovascular apparatus. Many clinical studies have underlined the connection between PCOS and the cardiovascular risk profile of such female patients, due to a lipid/glucose altered metabolism, hypertension, systemic inflammatory condition (assessable by markers such as VES, TNF-alfa, citokines and C-reactive protein (hsPCR) levels), and vascular injuries. Considering the early onset of the disease, PCOS could be considered as a real cardiovascular risk factor which affects the quality of life seriously. The current review aimed to point out the main connections between PCOS and cardiovascular risk factors according to the latest findings coming from literature data analysis, and try to depict the great influences that such a common disease can have on the patients' health integrity.

摘要

多囊卵巢综合征(PCOS),又称斯坦因-莱文塔尔综合征,是一种常见的内分泌紊乱疾病,由以下三个特征中的两个定义:i)排卵过少或无排卵,ii)高雄激素血症的临床和/或生化体征,或iii)多囊卵巢,前提是已排除相关的内分泌和妇科疾病。PCOS并非仅累及生殖器官,它有许多复杂的全身相关症状。它会导致代谢综合征,对心血管系统产生严重后果。许多临床研究强调了PCOS与此类女性患者心血管风险状况之间的联系,原因是脂质/葡萄糖代谢改变、高血压、全身炎症状态(可通过如血管内皮生长因子(VES)、肿瘤坏死因子-α(TNF-α)、细胞因子和C反应蛋白(hsPCR)水平等标志物评估)以及血管损伤。鉴于该疾病发病较早,PCOS可被视为一个真正的心血管危险因素,严重影响生活质量。本综述旨在根据文献数据分析的最新发现指出PCOS与心血管危险因素之间的主要联系,并试图描述这种常见疾病对患者健康完整性可能产生的重大影响。

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