Mistry Priya, Duong Austin, Kirshenbaum Lorrie, Martino Tami A
Department of Biomedical Sciences, Centre for Cardiovascular Investigations, University of Guelph, Guelph, Ontario N1G2W1, Canada.
Department of Physiology and Pathophysiology, Institute of Cardiovascular Sciences, St Boniface Hospital Research Centre, College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba R2H 2A6, Canada.
Heart Fail Clin. 2017 Oct;13(4):657-672. doi: 10.1016/j.hfc.2017.05.002. Epub 2017 Jun 26.
Circadian rhythms are fundamentally important for cardiovascular health, including heart rate, blood pressure, and molecular gene and protein responses. Rhythms also play a direct role in the pathophysiology of heart disease, such as in the timing of onset and severity of myocardial infarction, sudden cardiac death, ventricular arrhythmias, and stroke. Importantly, a flurry of new studies reveals translational applications for circadian biology to clinical medicine, and especially cardiology. Circadian medicine is a promising new approach that targets the heart's daily physiologic and molecular rhythms to benefit the treatment of patients with cardiovascular disease.
昼夜节律对心血管健康至关重要,包括心率、血压以及分子基因和蛋白质反应。节律在心脏病的病理生理学中也发挥着直接作用,比如在心肌梗死、心源性猝死、室性心律失常和中风的发病时间及严重程度方面。重要的是,一系列新研究揭示了昼夜生物学在临床医学,尤其是心脏病学中的转化应用。昼夜医学是一种有前景的新方法,它针对心脏的日常生理和分子节律,以改善心血管疾病患者的治疗效果。