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[什么是衰老和心血管衰老?]

[What is aging and cardiovascular aging?].

作者信息

Koldaş Z Lale

机构信息

Department of Cardiology, İstanbul University Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.

出版信息

Turk Kardiyol Dern Ars. 2017 Sep;45(Suppl 5):1-4. doi: 10.5543/tkda.2017.40350.

Abstract

Aging is one of the main risk factors for cardiovascular disease (CVD) and results in a progressive functional decline of organs and the vasculature. According to WHO data today, 8.5 percent of people worldwide (617 million) are aged 65 and over, this percentage is projected to jump to nearly 17 percent of the world's population by 2050 (1.6 billion). Turkey's 65-and- over population rise over the last 5 years about 17,1% and it is estimated that the percentage of this elderly population will rise from 8.5% (2016 data) to 20,8% in the year 2050. With aging the LV dynamics changes, afterload and myocardial oxygen consumption increase coronary perfusion decrease and the aorta stiffens due to increased collagen and reduced elastine level leading to a high systolic and low diastolic blood pressure and increased pulse wave velocity. At the cellular and mitochondrial level endothelial and vascular smooth muscle cells '(VSMC) have key structural and functional alterations that promote cardiovascular disease (CVD) and is defined as cardiovascular aging. To understand these changes is important for targeting new preventive and therapeutic strategies such as control endothelial dysfunction, mitocondrial oxidative stress, chromatin remodeling, genomic instability and vascular repair modalities including bone marrow-derived sterm cell transplantation in the aging population.

摘要

衰老为心血管疾病(CVD)的主要风险因素之一,会导致器官和脉管系统功能逐渐衰退。根据世界卫生组织(WHO)目前的数据,全球8.5%的人口(6.17亿)年龄在65岁及以上,预计到2050年这一比例将跃升至世界人口的近17%(16亿)。土耳其65岁及以上人口在过去5年增长了约17.1%,据估计,这一老年人口比例将从8.5%(2016年数据)升至2050年的20.8%。随着衰老,左心室动力学发生变化,后负荷和心肌耗氧量增加,冠状动脉灌注减少,主动脉因胶原蛋白增加和弹性蛋白水平降低而硬化,导致收缩压升高、舒张压降低以及脉搏波速度增加。在细胞和线粒体水平,内皮细胞和血管平滑肌细胞(VSMC)发生关键的结构和功能改变,促进心血管疾病(CVD),这被定义为心血管衰老。了解这些变化对于制定新的预防和治疗策略很重要,比如在老年人群中控制内皮功能障碍、线粒体氧化应激、染色质重塑、基因组不稳定以及包括骨髓源性干细胞移植在内的血管修复方式。

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