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尿毒症心瓣膜钙化发病机制研究进展
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Recent Progress in the Pathogenesis of Cardiac Valve Calcification in Uremia
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    摘要:

    尿毒症患者心血管系统钙化发生早且严重,心瓣膜钙化较常见。心脏瓣膜钙化不仅能造成瓣膜狭窄和(或)关闭不全,同时还可引起心脏传导受损,导致心律失常、心室肥厚、心功能不全,甚至猝死等。研究表明多种因素参与了尿毒症的心瓣膜钙化,如钙磷代谢不平衡、甲状旁腺激素、活性维生素D、炎症、胎球蛋白A等。心瓣膜钙化是钙化促进因素与抑制因素不平衡的结果。本文就近年来国内外研究现状作一综述。

    Abstract:

    Cardiovascular calcification happens early and seriously in uremia, of which cardiac valve calcification is relatively common.It can cause not only valve stenosis and (or) incompetence but also arrhythmia, ventricular hypertrophy, cardiac insufficiency, even sudden death, etc.Researches show that many factors were involved in cardiac valve calcification in uremia, such as calcium phosphate metabolism imbalance, parathyroid hormone, vitamin D, inflammation, fetuin-A, etc.Cardiac valve calcification is the imbalance of the results of calcification promoters and inhibition.Its mechnism in recent years is reviewed in this paper.

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陈小妹综述,张道友审校.尿毒症心瓣膜钙化发病机制研究进展[J].中国动脉硬化杂志,2012,20(3):283~288.

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  • 收稿日期:2011-08-31
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