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咖啡和茶对心血管健康是威胁还是助力?

Is Coffee and Tea a Threat or Ally to Cardiovascular Health?

作者信息

Mendpara Vaidehi, Garg Shreya, Shah Priyanshi, Bhavsar Jill, Anamika Fnu, Patel Meet, Munjal Ripudaman S, Gupta Vasu, Garg Nikita, Jain Rohit

机构信息

Medicine and Surgery, Government Medical College Surat, Surat, IND.

Internal Medicine, Dayanand Medical College and Hospital, Ludhiana, IND.

出版信息

Cureus. 2023 Dec 5;15(12):e49991. doi: 10.7759/cureus.49991. eCollection 2023 Dec.

Abstract

Tea and coffee have become ingrained in our daily lives and have become the most widely consumed drinks after water. Their effects vary on an individual basis depending upon the amount of daily consumption, genetic polymorphisms, and the presence of comorbidities. Non-habitual individuals experience an initial, brief increase in blood pressure due to caffeine's vasoactive effects. Caffeine also appears to be protective against arrhythmias and heart failure. Along with having a generally cardioprotective profile, they have also demonstrated to have a favorable impact on insulin resistance and reduced risk of diabetes mellitus. Physicians often practice caution and advise patients with known cardiovascular diseases to refrain from drinking caffeine; however, studies have shown that drinking two to three cups a day has either no or some beneficial effects on both patients with or without cardiac disorders like arrhythmias. This article focuses on the effects of tea and coffee on the cardiovascular system as well as the potential mechanisms involved.

摘要

茶和咖啡已深深融入我们的日常生活,成为除水之外消费最为广泛的饮品。其影响因人而异,取决于每日的饮用量、基因多态性以及是否存在合并症。非习惯性饮用者会因咖啡因的血管活性作用,经历血压最初的短暂升高。咖啡因似乎还对心律失常和心力衰竭具有保护作用。除了总体上具有心脏保护作用外,它们还已证明对胰岛素抵抗有积极影响,并降低患糖尿病的风险。医生通常会谨慎行事,并建议已知患有心血管疾病的患者避免饮用含咖啡因饮品;然而,研究表明,每天饮用两到三杯茶或咖啡,对患有或未患有心律失常等心脏疾病的患者而言,要么没有影响,要么具有一些有益效果。本文重点关注茶和咖啡对心血管系统的影响以及其中涉及的潜在机制。

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