[动脉高血压和认知障碍. 神经学家的观点]
1Pirogov Russian National Research Medical University, Moscow, Russia.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|November 23, 2023
概括
动脉高血压通过大脑微血管病变与认知障碍有关. 抗高血压疗法应考虑大脑血流和患者因素,以获得有效的治疗和认知支持.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
背景情况:
- 动脉高血压 (AH) 是认知障碍 (CI) 的重要危险因素.
- 大脑微血管病变是连接AH和CI的关键病原遗传机制.
- 大脑血管疾病和大脑动脉的严重狭窄症使AH管理复杂化.
研究的目的:
- 审查关于动脉高血压和认知障碍之间的关系的文献.
- 讨论涉及的病原遗传机制.
- 突出最佳的抗高血压治疗策略,用于CI患者.
主要方法:
- 对动脉高血压和认知障碍研究的文献综述.
- 分析病原遗传机制,包括大脑微血管病变.
- 在脑血管疾病中对抗高血压治疗方法的评估.
主要成果:
- 抗高血压疗法需要仔细考虑大脑血液流量的自调节.
- 高龄和脆弱的患者 (80岁以上) 患有严重狭窄症需要专门的AHT.
- 治疗应侧重于大脑输液压,CI严重程度和身体功能.
结论:
- 抗高血压疗法必须是个性化的,考虑到大脑血液动力学和病人的状态.
- 建议使用神经细胞保护疗法来治疗高血压患者的认知障碍.
- 优化AHT可以帮助减轻与动脉高血压相关的认知衰退.
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