摘要
动脉粥样硬化心脏疾病(CHD)和非动脉粥样硬化冠心病被认为是不到50岁的“男人的情况”。毫无疑问,绝经前妇女与男性相比发展动脉 粥样硬化/非动脉粥样硬化冠心病相对很少。这是主要是由于雌激素(主要是雌二醇)的心脏保护作用。不过,也有诱发的条件,这也使年 轻女性易发展动脉粥样硬化/非动脉粥样硬化冠心病。一些妇女有经典的心血管(CV)的危险因素,如高血压,糖尿病,吸烟,肥胖,和血 脂异常将更容易患心脏事件,甚至在年轻的时候。此外,也有导致急性冠状动脉综合征,甚至在没有冠状动脉斑块如心肌桥,冠状动脉夹层, 冠状动脉痉挛,冠状动脉栓塞和冠状动脉先天性异常等其他条件。另外,自身免疫性疾病,其中一些是使妇女更普遍引起动脉粥样硬化/非动 脉粥样硬化冠心病的原因。在这篇叙述综述,我们总结了一些年轻妇女易患动脉粥样硬化/非冠心病动脉粥样硬化的原因。
关键词: 自身免疫病,冠心病,妇女
Current Medicinal Chemistry
Title:Atherosclerotic and Non-Atherosclerotic Coronary Heart Disease in Women
Volume: 22 Issue: 31
Author(s): Genovefa Kolovou, Vana Kolovou, Maria Koutelou and Sophie Mavrogeni
Affiliation:
关键词: 自身免疫病,冠心病,妇女
摘要: Atherosclerotic Coronary heart disease (CHD) and non-atherosclerotic CHD in individuals less than 50 years of age is considered a “men’s case”. Undoubtedly, premenopausal women develop atherosclerotic/non-atherosclerotic CHD relatively rarely compared with men. This is attributed mostly to the cardioprotective role of estrogens (mainly estradiol). Nevertheless, there are predisposing conditions, which also make young women vulnerable to develop atherosclerotic/non-atherosclerotic CHD. Women who have classical cardiovascular (CV) risk factors, such as hypertension, diabetes mellitus, smoking, obesity, and dyslipidaemia, are more likely to develop cardiac events, even at a young age. Moreover, there are also other conditions that cause acute coronary syndromes, even in the absence of coronary atheromatic plaques such as myocardial bridge, coronary artery dissection, coronary artery spasm, coronary artery embolism and congenital anomalies of coronary arteries. Also, autoimmune diseases, some of which are more prevalent in women can cause atherosclerotic/ non-atherosclerotic CHD. In this narrative review we have summarized some of the causes that predispose young women to develop atherosclerotic/non-atherosclerotic CHD.
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Cite this article as:
Genovefa Kolovou, Vana Kolovou, Maria Koutelou and Sophie Mavrogeni , Atherosclerotic and Non-Atherosclerotic Coronary Heart Disease in Women, Current Medicinal Chemistry 2015; 22 (31) . https://dx.doi.org/10.2174/0929867322666150904105941
DOI https://dx.doi.org/10.2174/0929867322666150904105941 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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