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急性心肌梗死后梗死心肌及心脏重塑的关键炎症相关因素。

Key inflammatory players for infarcted mass and cardiac remodeling after acute myocardial infarction.

作者信息

Fonseca Francisco A H, França Carolina N, Fonseca Henrique A R, Serra Andrey J, Izar Maria C

机构信息

Department of Medicine, Escola Paulista de Medicina da Universidade Federal de São Paulo, São Paulo, Brazil.

Post-Graduation Program in Health Sciences, Santo Amaro University (UNISA), São Paulo, Brazil.

出版信息

Front Cardiovasc Med. 2025 Jul 18;12:1609705. doi: 10.3389/fcvm.2025.1609705. eCollection 2025.

Abstract

Atherosclerosis has been defined as an inflammatory disease. As observed during acute infections, excess inflammatory activity is associated with disease severity and mortality. After myocardial infarction, several waves of inflammatory cells play a crucial role in infarct size and cardiac remodeling. In the short and long term, subtypes of inflammatory cells and cytokines released orchestrate the healing and stability of coronary disease. In recent years, some anti-inflammatory therapies have been shown to reduce the residual cardiovascular risk. Furthermore, some medications for treating risk factors and adoption of healthy lifestyle have decreased inflammatory markers and cardiovascular outcomes. In this complex network of possibilities, multiple interventions and not just on specific cell type or cytokine may provide better results. Finally, mild or moderate inflammatory activity appears necessary for better recovery and survival after acute myocardial infarction.

摘要

动脉粥样硬化已被定义为一种炎症性疾病。正如在急性感染期间所观察到的,过度的炎症活动与疾病严重程度和死亡率相关。心肌梗死后,几波炎症细胞在梗死面积和心脏重塑中起关键作用。在短期和长期内,释放的炎症细胞亚型和细胞因子协调冠状动脉疾病的愈合和稳定性。近年来,一些抗炎疗法已被证明可降低残余心血管风险。此外,一些用于治疗危险因素的药物和健康生活方式的采用降低了炎症标志物和心血管结局。在这个复杂的可能性网络中,多种干预措施而非仅针对特定细胞类型或细胞因子可能会产生更好的效果。最后,轻度或中度炎症活动似乎是急性心肌梗死后更好恢复和生存所必需的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/444b/12313495/0f31105a8dab/fcvm-12-1609705-g001.jpg

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