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Published on: March 14, 2017
[Cerebrovascular diseases: perspectives of pathogenetic metabolic haemangiocorrective treatment]
M M Tanashyan1, O V Lagoda1, K V Antonova1
1Research Centre of Neurology, Moscow, Russia.
Insights
Metabolic syndrome significantly increases the risk of cerebrovascular disease by affecting blood flow and clotting. Effective prevention and treatment require addressing metabolic factors and protecting blood vessels.
Area of Science:
- Neurology
- Cardiology
- Metabolic Disorders
Background:
- Metabolic syndrome is a major risk factor for cerebrovascular diseases, including stroke.
- Key components like hyperinsulinemia, hypertension, dyslipidemia, and obesity contribute to proatherogenic effects.
- These effects lead to significant hemorrheal and hemostasis changes, impacting cerebrovascular pathology.
Purpose of the Study:
- To highlight the role of metabolic syndrome in cerebrovascular disease.
- To discuss the influence of metabolic syndrome on antithrombotic therapy efficacy.
- To propose comprehensive prevention and treatment strategies.
Main Methods:
- Review of existing literature on metabolic syndrome and cerebrovascular disease.
- Analysis of the pathophysiological mechanisms linking metabolic syndrome components to cerebrovascular pathology.
- Evaluation of therapeutic approaches for patients with metabolic syndrome and cerebrovascular disease.
Main Results:
- Metabolic syndrome components promote atherosclerosis and alter hemorrheal and hemostasis parameters.
- These alterations are critical in the development and progression of cerebrovascular diseases.
- Metabolic syndrome can compromise the effectiveness of standard antithrombotic therapies.
Conclusions:
- Integrated management of metabolic syndrome is crucial for preventing and treating cerebrovascular disease.
- Therapeutic strategies should encompass hemorrheal correction, antithrombotic, antioxidant, and endothelium-protective measures.
- Addressing the core components of metabolic syndrome is essential for improving patient outcomes.
Abstract:
Metabolic syndrome is a serious risk factor for acute and chronic cerebrovascular disease, which are a leading cause of disabling conditions. The association of proatherogenic effects of the main components of metabolic syndrome--hyperinsulinemia, arterial hypertension, dyslipidemia and obesity--leads to prominent haemorheological and hemostasis changes, which in turn play a pivotal role in the initiation, course and outcome of cerebrovascular pathology. Metabolic syndrome also influences the efficacy of the main pathogenetic therapy of cerebrovascular diseases--antithrombotic therapy. Thus, primary and secondary prevention of cerebrovascular disease in patients with metabolic syndrome should include haemangiocorrective, antithrombotic, antioxidant and endothelium-protective treatment, as well as therapy of the main components of metabolic syndrome.
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