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心血管疾病的预防:镁缺乏筛查

Prevention of Cardiovascular Disease: Screening for Magnesium Deficiency.

作者信息

Severino Paolo, Netti Lucrezia, Mariani Marco Valerio, Maraone Annalisa, D'Amato Andrea, Scarpati Rossana, Infusino Fabio, Pucci Mariateresa, Lavalle Carlo, Maestrini Viviana, Mancone Massimo, Fedele Francesco

机构信息

Department of Cardiovascular, Respiratory, Nephrology, Anesthesiology and Geriatric Sciences, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.

Department of Human Neurosciences, Sapienza University of Rome, Viale dell'Università 30, 00185 Rome, Italy.

出版信息

Cardiol Res Pract. 2019 May 2;2019:4874921. doi: 10.1155/2019/4874921. eCollection 2019.

Abstract

Magnesium is an essential mineral naturally present in the human body, where it acts as cofactor in several enzymatic reactions. Magnesium is a key cardiovascular regulator, which maintains electrical, metabolic, and vascular homeostasis. Moreover, magnesium participates in inflammation and oxidative processes. In fact, magnesium deficiency is involved in the pathophysiology of arterial hypertension, diabetes mellitus, dyslipidemia, metabolic syndrome, endothelial dysfunction, coronary artery disease, cardiac arrhythmias, and sudden cardiac death. In consideration of the great public-health impact of cardiovascular disease, the recognition of the negative effects of magnesium deficiency suggests the possible role of hypomagnesaemia as cardiovascular risk factor and the use of serum magnesium level for the screening and prevention of cardiovascular risk factors and cardiovascular diseases. Moreover, it might help with the identification of new therapeutical strategies for the management of cardiovascular disease through magnesium supplementation.

摘要

镁是人体中天然存在的一种必需矿物质,它在多种酶促反应中作为辅助因子发挥作用。镁是关键的心血管调节剂,可维持电、代谢和血管稳态。此外,镁还参与炎症和氧化过程。事实上,镁缺乏与动脉高血压、糖尿病、血脂异常、代谢综合征、内皮功能障碍、冠状动脉疾病、心律失常和心源性猝死的病理生理学有关。鉴于心血管疾病对公众健康的巨大影响,认识到镁缺乏的负面影响提示低镁血症可能作为心血管危险因素,并提示可利用血清镁水平来筛查和预防心血管危险因素及心血管疾病。此外,通过补充镁可能有助于确定心血管疾病管理的新治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5b3/6525869/9d0f2a01866b/CRP2019-4874921.001.jpg

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