年轻女性不孕与心血管疾病风险之间的关系

Roshani Ganjare, Anjali Mangalaram
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摘要

科学家和医学专家开始认识到,女性过去的生育经历对其罹患心脏病的潜在风险具有重要影响。在评估心血管风险时,生殖史很少被考虑在内。不孕、高血压和高血脂是心脏病的危险因素。我们还进行了其他分析,以确定风险的明显增加是否会受到与不孕症相关的其他风险因素(如月经不调、甲状腺疾病和腰围)的影响。这项研究旨在调查女性和有生育能力的女性心血管风险与不孕之间的关联。这项研究的目的是估算不孕和已育对照组的血清肌酸激酶(MB)水平,以及估算同组的低密度脂蛋白和高密度脂蛋白水平。研究小组由 78 名参与者组成,其中 39 人已育,39 人未育。对 CK(甲基溴)、高密度脂蛋白、低密度脂蛋白、尿酸和高敏 C 反应蛋白(hs-CRP)水平进行了分析。在这项研究中,我们讨论了不孕症如何与心血管疾病有着共同的发病途径。不孕症可能与多种机制有关,包括排卵异常、子宫内膜异位症和子宫肌瘤。例如,患有多囊卵巢综合症(PCOS)的女性除了高密度脂蛋白水平较低外,总胆固醇、甘油三酯和低密度脂蛋白水平也更高。多囊卵巢综合症患者通常表现出尿酸水平升高和高尿酸血症,这通常与雄激素水平升高有关。
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Association between infertility and risk of cardiovascular diseases in young women
Scientists and medical experts are beginning to understand the significant role that a woman’s past reproductive experiences play in her potential risk of developing heart disease. Reproductive history is seldom considered when assessing the cardiovascular risk. Infertility, high blood pressure, and hypertension are risk factors for heart disease. Additional analyses were conducted to determine whether the apparent increase in risk could be influenced by other risk factors associated with infertility such as irregular menstruation, thyroid conditions, and waist circumference. This study aimed to investigate the association between cardiovascular risk and infertility in women and those who are fertile. The objectives of this study were to estimate the levels of serum creatinine kinase (MB) in both infertile and fertile control groups, as well as to estimate the LDL and HDL levels in the same groups. The study group comprised 78 participants, of which 39 were fertile and 39 were infertile. CK (MB), HDL, LDL, Uric acid, and high sensitivity C reactive Protein (hs-CRP) levels were analyzed. In this study, we discuss how infertility may share common pathways with cardiovascular diseases. Numerous mechanisms may be involved in mediating infertility, including ovulatory abnormalities, endometriosis, and uterine fibroids. For example, in addition to having lower HDL levels, women with polycystic ovary syndrome (PCOS) are more likely to have higher levels of total cholesterol, triglycerides, and LDL. PCOS patients typically exhibit elevated UA levels and hyperuricemia, which are commonly associated with increased androgen levels.
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