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Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

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Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
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Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

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Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
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Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

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Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
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Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

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Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
652
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

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Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
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臨床症状

Wendy Weiqiao Qiu1

  • 1Boston University School of Medicine, BOSTON, MA, USA; Boston University School of Medicine, 352 Beacon Street, Unit#5, MA, USA.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
PubMed
まとめ

末梢の炎症と内皮機能不全はアルツハイマー病(AD)のリスクを高めます。上腕動脈の血流依存性血管拡張(FMD)はAD認知症を予測でき、健康な内皮機能はリスクの低下と脳の健康の改善に関連しています。

科学分野:

  • 神経科学; 心血管科学; 老年医学

背景:

  • 末梢の炎症は内皮機能に悪影響を与え、アルツハイマー病(AD)の発症に関与する。; 上腕動脈の血流依存性血管拡張(FMD)は、伝導動脈の内皮機能の重要な指標である。

研究 の 目的:

  • AD認知症リスクに対するFMDの予測値を調査すること。; 内皮機能とADバイオマーカーおよび脳容積との関連を検討すること。

主な方法:

  • フラミンガム心臓研究(FHS)子孫コホートの2844人の参加者のデータを利用した。; 17年間の追跡期間にわたって、ベースラインのFMD測定値、新規発症の認知症/AD、血漿ADバイオマーカー、および脳容積を評価した。

主要な成果:

  • 健常者では、軽度認知障害または認知症を有する者と比較して、FMDおよび充血時平均血流速度が高かった。; FMDおよび充血時平均血流速度の低下は、共変量を調整した後でも、AD認知症リスクの増加と有意に関連していた。; 内皮機能マーカーの高さの三分の二は、ADバイオマーカーレベルの低下および脳容積の増加と相関していた。

結論:

  • 本研究は、地域コホートにおける内皮機能不全とAD認知症リスクとの関連を確立した。; 健康な脳内皮は、加齢に伴う認知機能低下およびAD発症に対する保護因子であると考えられる。
キーワード:
内皮機能不全アルツハイマー病FMD脳の健康認知症

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