大脑和心脏的微血管动脉疾病:一种共同的发病因子
C P Bradley1,2, C Berry1,2
1British Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
QJM : monthly journal of the Association of Physicians
|July 19, 2023
概括
微血管动脉疾病影响心脏 (冠状动脉微血管功能障碍) 和大脑 (脑血管小血管疾病),共享共同的风险因素和机制. 需要对诊断和治疗进行进一步的研究.
科学领域:
- 心血管科学 心血管科学
- 神经学 神经学
- 血管生物学 血管生物学
背景情况:
- 心脏中的微血管动脉疾病被称为冠状动脉微血管功能障碍 (CMD),导致微血管性心痛,增加发病率和死亡率.
- 大脑中的微血管动脉疾病被称为脑血管小血管疾病 (SVD),导致45%的痴呆症和25%的缺血性中风.
研究的目的:
- 探索CMD和脑血管SVD之间共享的血管解剖学和病原性风险因素.
- 调查常见的多系统病理生理机制,是心脏和大脑中微血管疾病的基础.
主要方法:
- 对心脏和大脑血管解剖学的比较分析.
- 对CMD和脑血管SVD相关的常见风险因素和病理生理路径的审查.
- 关于当前诊断方法和流行病学数据的文献综合.
主要成果:
- 心脏和大脑表现出类似的血管结构,易患微血管疾病.
- 共同的风险因素,包括高血压和糖尿病,有助于CMD和脑血管SVD.
- 证据表明,在多系统血管床中存在共同的潜在病理生理机制.
结论:
- 脑血管疾病和脑血管疾病是相互关联的疾病,具有共同的病因和病理生理学.
- 对这些微血管疾病的诊断工具,流行病学和疾病修饰疗法的进一步研究是有必要的.
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