Chain Smoking & Staying Up Late (or Sleep Deprivation) Increase the Risk of Heart Attack

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	Chain Smoking & Staying Up Late (or Sleep Deprivation) Increase the Risk of Heart Attack

MorningStar-Light

9-23-2009 9:45 AM

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MorningStar-Light says:

http://life.chinatimes.com/2009Cti/Channel/Life/life-article/0,5047,130518+132009092201091,00.html

http://life.chinatimes.com/2009Cti/Channel/Life/life-article/0,5047,130518+132009092200887,00,focus.html
兩份工作讓他日夜都操勞，一天只有3~4小時睡眠時間，折騰自己身體的結果，就是換來年紀輕輕心肌梗塞上身。

雙和醫院心臟內科主治醫師劉順鑫解釋，熬夜抽菸是年輕人罹患心肌梗塞大元兇，主因在於抽菸會有血管硬化，產生斑塊風險，熬夜則會讓血管發炎指數升高，促使血管斑塊剝離，導致斑塊阻塞血管，成為年輕型心肌梗塞患者。

如何把關血管發炎問題，心臟內科主治醫師郝文瑞表示，可透過抽血檢驗「高敏感度C反應蛋白」(Hs-CRP)，瞭解自己血管發炎程度，研究發現，血中發炎指數越高，罹患冠心病的風險最高達4.4倍。

「一般我們都認為高膽固醇或是有抽煙比較容易有心肌梗塞，但事實上HsCRP指數偏高的人他發生心肌梗塞的機會呢，會比一般正常人來說，大概高出了最高可以高到四倍的機率。」

Hs-CRP若超過0.3就代表身體裡有發炎、感染或組織壞死等情形，是可監測血管發炎程度的早期指標，抽血檢驗約需自費數百元，郝文瑞說，這項檢驗比起傳統檢驗敏感性高，能夠更早揪出血管發炎問題，防範未然，若確認血管發炎，應修正自己生活習慣，避菸酒熬夜，經醫師評估是否服藥治療。

醫師提醒，臨床發現，有半數心肌梗塞患者，其實血脂肪正常，但血管卻已經有動脈硬化、血管壁越來越增厚問題，埋下不定時炸彈，血管土石流隨時可能奪命。

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