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血脂剩留风险、microRNA与发生ISR的相关性研究进展

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经皮冠状动脉介入治疗术后冠状动脉支架内再狭窄是目前亟待解决的临床问题,严重时甚至危及患者生命。PCI术后发生ISR的机制尚不明确,因此,探究PCI后ISR发生的风险尤为重要。目前研究表明,血脂剩留风险、microRNA参与了 PCI术后内皮损伤、炎症反应、血管平滑肌细胞过度增殖和内膜增生以及新的动脉粥样硬化形成过程,对ISR起到积极作用。本文就心血管剩留风险、microRNA与ISR相关性的研究进展进行分析、综述,以期对临床研究冠状动脉支架内再狭窄提供理论依据和指导意义。
ADVANCES IN THE STUDY OF LIPID RETENTION RISK,MICRORNA CORRELATION WITH THE OCCURRENCE OF ISR
In-stent restenosis of coronary arteries after percutaneous coronary intervention(PCI)is a clinical problem that needs to be solved urgently and may even jeopardize patients'lives in severe cases.The mechanism of ISR after PCI is not clear,so it is particularly important to explore the risk of ISR after PCI.Current studies have shown that lipid residual risk and microRNA are involved in endothelial injury,inflammatory response,vascular smooth muscle cell hyperproliferation and inti-mal hyperplasia,and new atherosclerosis formation after PCI,which play a positive role in ISR.This article analyzes and re-views the research progress on the correlation between cardiovascular residual risk,microRNA and ISR,with a view to provid-ing theoretical basis and guiding significance to the clinical study of coronary artery in-stent restenosis.

Percutaneous coronary interventionISRCardiovascular riskmicro-RNA

郝甜、陈启、刘晓宇

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内蒙古医科大学,内蒙古 呼和浩特 010059

宁夏医科大学 第三临床医学院,宁夏 银川 750004

内蒙古医科大学附属医院 心血管内科,内蒙古 呼和浩特 010050

经皮冠状动脉介入治疗 ISR 心血管剩留风险 micro-RNA

内蒙古自治区教育厅高等学校科学研究项目

NJZZ20132

2024

内蒙古医科大学学报
内蒙古医学院

内蒙古医科大学学报

CSTPCD
影响因子:1.512
ISSN:2095-512X
年,卷(期):2024.46(3)