心血管疾病与痴呆症:探索交叉点、风险和治疗挑战。

IF 2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Cardiology in Review Pub Date : 2024-05-24 DOI:10.1097/CRD.0000000000000730
Lillian Huang, Juliet Meir, William H Frishman, Wilbert S Aronow
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引用次数: 0

摘要

这篇综述探讨了心血管疾病与阿尔茨海默病、血管性痴呆、路易体痴呆和额颞叶痴呆等各种痴呆亚型之间复杂的双向关系。高血压、冠心病、心律失常和糖尿病等传统的心血管风险因素与痴呆症的发生密切相关。新的证据表明,认知功能衰退可通过炎症反应的加剧和自律神经调节功能的减弱而加剧心血管风险。此外,本综述还探讨了研究心血管药物(如降压药和他汀类药物)对认知结果影响的试验,以及研究抗胆碱酯酶等痴呆治疗方法如何影响心血管健康的研究。本综述强调了早期识别高危人群、综合护理方法以及旨在降低心血管疾病和痴呆风险的生活方式干预的重要性,最终目的是提高患者的预后和生活质量。
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Cardiovascular Disease and Dementia: Exploring Intersections, Risks, and Therapeutic Challenges.

This review examines the complex bidirectional relationship between cardiovascular disease and various dementia subtypes, including Alzheimer's disease, vascular dementia, Lewy body dementia, and frontotemporal dementia. Traditional cardiovascular risk factors such as hypertension, coronary artery disease, arrhythmia, and diabetes mellitus are strongly linked to the development of dementia. Emerging evidence indicates that cognitive decline can exacerbate cardiovascular risks through heightened inflammatory responses and compromised autonomic regulation. Additionally, this review explores trials that investigate the impact of cardiovascular medications, such as antihypertensive and statin therapies, on cognitive outcomes, as well as studies examining how dementia treatments like anticholinesterases affect cardiovascular health. This review emphasizes the importance of early identification of at-risk individuals, integrated care approaches, and lifestyle interventions aimed at reducing both cardiovascular disease and dementia risk, ultimately aiming to enhance patient outcomes and quality of life.

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来源期刊
Cardiology in Review
Cardiology in Review CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
4.60
自引率
0.00%
发文量
76
审稿时长
>12 weeks
期刊介绍: The mission of Cardiology in Review is to publish reviews on topics of current interest in cardiology that will foster increased understanding of the pathogenesis, diagnosis, clinical course, prevention, and treatment of cardiovascular disorders. Articles of the highest quality are written by authorities in the field and published promptly in a readable format with visual appeal
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