[心房动患者的认知障碍]
E V Mityaeva1, P R Kamchatnov2,3, Z Kh Osmaeva4
1Turgenev Orel state University, Orel, Russia.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|September 1, 2023
概括
心房动 (AF) 增加了认知障碍 (CI) 的风险,通常是由于缺血性中风 (IS). 本综述探讨了AF-CI联系,原因以及两种病症患者的管理挑战.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 老年病的医生 老年病的医生
背景情况:
- 心房动 (AF) 是一种与严重的神经并发症相关的流行性心律失常.
- 认知障碍 (CI),包括痴呆症,是AF的常见而严重的后果.
- 缺血性中风 (IS) 是AF患者CI的主要驱动因素.
研究的目的:
- 审查心房动和认知障碍之间的复杂关系.
- 探索导致AF患者CI的病因因素.
- 为了确定在管理伴随性AF和CI患者的挑战.
主要方法:
- 对研究AF,IS和CI的文献综述.
- 对AF群体中CI发生率和进展的数据的分析.
- 讨论临床管理策略和困难.
主要成果:
- AF是IS和CI的重要风险因素,独立于中风.
- CI可以在IS期间急性表现出来,或者在AF患者中逐渐发展.
- 即使在没有IS史的AF患者中,也存在CI的风险增加.
结论:
- AF通过各种机制对认知健康构成重大威胁,包括IS.
- 早期发现和管理AF对于减轻CI风险至关重要.
- 解决同时存在的AF和CI管理的复杂性对于患者护理至关重要.
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