Department of Medicine and Health Sciences, University of Molise, Via Francesco De Sanctis, 1, 86100 Campobasso, Italy.
Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Via S. Allende, Baronissi, 84081 Salerno, Italy.
Oxid Med Cell Longev. 2020 Jan 6;2020:2176728. doi: 10.1155/2020/2176728. eCollection 2020.
Dietary phytochemicals are considered an innovative strategy that helps to reduce cardiovascular risk factors. Some phytochemicals have been shown to play a beneficial role in lipid metabolism, to improve endothelial function and to modify oxidative stress pathways in experimental and clinical models of cardiovascular impairment. Importantly, investigation on phytochemical effect on cardiac remodeling appears to be promising. Nowadays, drug therapy and implantation of devices have demonstrated to ameliorate survival. Of interest, sex-gender seems to influence the response to HF canonical therapies. In fact, starting by the evidence of the feminization of world population and the scarce efficacy and safety of the traditional drugs in women, the search of alternative therapeutic tools has become mandatory. The aim of this review is to summarize the possible role of dietary phytochemicals in HF therapy and the evidence of a different sex-gender-oriented response.
膳食植物化学物质被认为是一种创新策略,有助于降低心血管风险因素。一些植物化学物质已被证明在脂质代谢、改善内皮功能和改变心血管损伤的实验和临床模型中的氧化应激途径方面发挥有益作用。重要的是,关于植物化学物质对心脏重构影响的研究似乎很有前景。如今,药物治疗和器械植入已被证明可以改善生存率。有趣的是,性别似乎会影响对心力衰竭标准治疗的反应。事实上,从世界人口女性化的证据以及传统药物在女性中的疗效和安全性差的证据来看,寻找替代治疗工具已成为当务之急。本综述的目的是总结膳食植物化学物质在心力衰竭治疗中的可能作用以及不同性别反应的证据。