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关于年轻人心律失常危险因素与氧化应激诱导性的临床研究。

Clinical Study Regarding Arrhythmogenic Risk Factors and Oxidative Stress Inductibility in Young People.

作者信息

Beznă M C, Cârstea D, Beznă M, Deliu C I, Alexandru D O, Ciurea P

机构信息

Department of Cardiology, University of Medicine and Pharmacy of Craiova.

Department of Internal Medicine, University of Medicine and Pharmacy of Craiova.

出版信息

Curr Health Sci J. 2015 Jul-Sep;41(3):251-258. doi: 10.12865/CHSJ.41.03.10. Epub 2015 Mar 15.

Abstract

UNLABELLED

Rhythm disorders in young people are often reported and when they are persistent, repetitive or with a severity degree, an ethiopathgenical assessment of arrhythmogenic risk factors and their implications is required.

PURPOSE

Arrhythmogenic risk factors evaluation and the possibility of determining oxidative stress in the arrhythmic pathology in young people.

MATERIAL AND METHODS

The study was conducted on 184 young subjects, aged 16-26 years old; the points of interest were: the presence or absence of cardiac dysrhythmias, the existence of proarrhythmogenic risk factors and determination of oxidative stress status modifications.

RESULTS

Of the studied young subjects, 39% presented heart rhythm disturbances, repetitive or persistent (atrial extrasystolic arrhythmia, sinus tachycardia, ventricular extrasystolic arrhythmia, paroxysmal atrial fibrillation, paroxysmal supraventricular tachycardia, associated dysrhythmias, atrial flutter, sinus bradycardia), which have been associated with the following risk factors: coffee consumption 82%, stress 80%, physical effort 72%, energy drinks consumption 72%, hyperlipidic diet 69%, familial predisposition 69%, alcohol intake 53%, frequent sleep deprivation 50%, smoking 31%, overweight 31%. The observed risk factors may be involved in the increasing of oxidative stress level, and, for this reason, the determination of oxidative stress biomarkers is required. The association of arrhythmogenic risk factors, with the expression of oxidative stress markers and the existence of enzymatic genetic polymorphism of redox systems, requires proper monitoring for the further risk of endothelial lesions induction, leading to aterosclerosis.

CONCLUSIONS

Arrhythmogenic risk factors and biomarkers of oxidative stress are important, especially in young people cases, for monitoring the cardiovascular risk, for primary prevention and early treatment.

摘要

未标注

年轻人的节律紊乱经常被报道,当这些紊乱持续、反复出现或达到一定严重程度时,就需要对致心律失常危险因素及其影响进行病因学评估。

目的

评估年轻人心律失常的致心律失常危险因素以及确定氧化应激在心律失常病理过程中的可能性。

材料与方法

该研究针对184名年龄在16 - 26岁的年轻受试者进行;关注要点包括:是否存在心脏节律紊乱、促心律失常危险因素的存在情况以及氧化应激状态变化的测定。

结果

在所研究的年轻受试者中,39%出现了反复或持续的心律紊乱(房性早搏性心律失常、窦性心动过速、室性早搏性心律失常、阵发性心房颤动、阵发性室上性心动过速、合并的心律失常、心房扑动、窦性心动过缓),这些与以下危险因素相关:咖啡饮用82%、压力80%、体力活动72%、能量饮料饮用72%、高脂饮食69%、家族易感性69%、酒精摄入53%、频繁睡眠剥夺50%、吸烟31%、超重31%。观察到的这些危险因素可能参与了氧化应激水平的升高,因此,需要测定氧化应激生物标志物。致心律失常危险因素与氧化应激标志物的表达以及氧化还原系统酶基因多态性的存在之间的关联,需要进行适当监测,以预防进一步诱发内皮损伤导致动脉粥样硬化的风险。

结论

致心律失常危险因素和氧化应激生物标志物很重要,尤其在年轻人病例中,对于监测心血管风险、一级预防和早期治疗而言。

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