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人类的心脏衰老与心脏病

Cardiac aging and heart disease in humans.

作者信息

Steenman Marja, Lande Gilles

机构信息

l'institut du thorax, INSERM, CNRS, UNIV Nantes, Nantes, France.

l'institut du thorax, INSERM, CNRS, UNIV Nantes, CHU Nantes, Nantes, France.

出版信息

Biophys Rev. 2017 Apr;9(2):131-137. doi: 10.1007/s12551-017-0255-9. Epub 2017 Mar 20.

DOI:10.1007/s12551-017-0255-9
PMID:28510085
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5418492/
Abstract

The world population continues to grow older rapidly, mostly because of declining fertility and increasing longevity. Since age represents the largest risk factor for cardiovascular disease, the prevalence of these pathologies increases dramatically with increasing age. In order to improve patient care and prevention for age-related cardiac diseases, insight should be gained from the analysis of processes involved in and leading to cardiac aging. It is from this perspective that we provide here an overview of changes associated with age in the heart on four levels: functional, structural, cellular and molecular. We highlight those changes that are in common with the development of the two major age-associated cardiac pathologies: heart failure and atrial fibrillation. These commonly affected processes in aging and cardiac pathophysiology may provide an explanation for the age risk factor in cardiac disease.

摘要

世界人口正在迅速老龄化,这主要是由于生育率下降和寿命延长。由于年龄是心血管疾病的最大风险因素,这些疾病的患病率会随着年龄的增长而急剧上升。为了改善对与年龄相关的心脏疾病的患者护理和预防,应该通过分析参与并导致心脏衰老的过程来获得深入了解。正是从这个角度出发,我们在此从功能、结构、细胞和分子四个层面概述了心脏中与年龄相关的变化。我们重点介绍了与两种主要的与年龄相关的心脏疾病(心力衰竭和心房颤动)发展过程中相同的变化。衰老和心脏病理生理学中这些普遍受影响的过程可能为心脏疾病中的年龄风险因素提供解释。

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本文引用的文献

1
Atrial Fibrillation in Heart Failure With Preserved Ejection Fraction: Association With Exercise Capacity, Left Ventricular Filling Pressures, Natriuretic Peptides, and Left Atrial Volume.射血分数保留的心力衰竭中的心房颤动:与运动能力、左心室充盈压、利钠肽和左心房容积的关系。
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Mitochondria and oxidative stress in heart aging.心脏衰老中的线粒体与氧化应激
Age (Dordr). 2016 Aug;38(4):225-238. doi: 10.1007/s11357-016-9933-y. Epub 2016 Jul 24.
3
Sex Differences in the Biology and Pathology of the Aging Heart.衰老心脏生物学和病理学的性别差异。
Can J Cardiol. 2016 Sep;32(9):1065-73. doi: 10.1016/j.cjca.2016.03.017. Epub 2016 Apr 7.
4
Healthy aging and myocardium: A complicated process with various effects in cardiac structure and physiology.健康衰老与心肌:一个在心脏结构和生理方面具有多种影响的复杂过程。
Int J Cardiol. 2016 Apr 15;209:167-75. doi: 10.1016/j.ijcard.2016.02.039. Epub 2016 Feb 4.
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β-adrenergic receptor signalling and its functional consequences in the diseased heart.β-肾上腺素能受体信号传导及其在患病心脏中的功能后果
Eur J Clin Invest. 2016 Apr;46(4):362-74. doi: 10.1111/eci.12598. Epub 2016 Feb 19.
6
Atrial Fibrillation Begets Heart Failure and Vice Versa: Temporal Associations and Differences in Preserved Versus Reduced Ejection Fraction.心房颤动引发心力衰竭,反之亦然:射血分数保留与降低时的时间关联及差异
Circulation. 2016 Feb 2;133(5):484-92. doi: 10.1161/CIRCULATIONAHA.115.018614. Epub 2016 Jan 8.
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Heart failure: when form fails to follow function.心力衰竭:当形式无法跟随功能。
Eur Heart J. 2016 Feb 1;37(5):449-54. doi: 10.1093/eurheartj/ehv548. Epub 2015 Oct 24.
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The Aging Heart.衰老的心脏
Cold Spring Harb Perspect Med. 2015 Sep 1;5(9):a025148. doi: 10.1101/cshperspect.a025148.
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Cardiac Fibrosis in Patients With Atrial Fibrillation: Mechanisms and Clinical Implications.心房颤动患者的心肌纤维化:机制与临床意义。
J Am Coll Cardiol. 2015 Aug 25;66(8):943-59. doi: 10.1016/j.jacc.2015.06.1313.
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Age-Related Left Ventricular Changes and Their Association with Leukocyte Telomere Length in Healthy People.健康人群中与年龄相关的左心室变化及其与白细胞端粒长度的关联
PLoS One. 2015 Aug 14;10(8):e0135883. doi: 10.1371/journal.pone.0135883. eCollection 2015.