在认知衰退中,心房动和以前缺血性中风的风险
Tunde Pal1, Dragos-Florin Baba2, Zoltan Preg3,4
1Department of Internal Medicine V, George Emil Palade University of Medicine Pharmacy, Science, and Technology of Targu Mures, 540142 Targu Mures, Romania.
Journal of clinical medicine
|July 27, 2024
概括
认知能力下降与心血管疾病 (如心房动和中风) 有关. 特定的认知测试,包括MOCA和MMSE,可以帮助识别患有这些疾病风险的患者.
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:
- 认知衰退 (CD) 是一个日益关注的问题,通常与各种潜在的健康状况有关.
- 了解认知功能与心血管疾病之间的关系对于早期检测和管理至关重要.
研究的目的:
- 调查认知衰退与已记录的心血管疾病,如心房动 (AFib),缺血性中风,心力衰竭,外周动脉疾病和糖尿病之间的反向关系.
- 评估标准认知测试在识别这些条件的诊断效用.
主要方法:
- 一项涉及469名患者的回顾性横截面研究,这些患者使用蒙特利尔认知评估 (MOCA),迷你精神状态检查 (MMSE) 和全科医生认知评估 (GPCOG) 进行了认知评估.
- 从接收器运行特征曲线中得出的标准和最佳截止值被用于评估关联.
主要成果:
- 较低的MOCA分数 (<26) 与AFib (OR:1.83) 相关,最佳切断点 (<23) 与缺血性中风 (OR:2.64) 相关.
- 较低的MMSE得分 (<28) 与缺血性中风 (OR: 3.07),AFib (OR: 1.65) 和外周动脉疾病 (OR: 2.72) 相相关.
- GPCOG得分 (<8) 表示与缺血性中风 (OR: 2.18) 和心力衰竭 (OR: 1.49) 的相关性.
结论:
- 认知评估,特别是MOCA和MMSE,在识别有记录的AFib患者方面具有显著的实用性.
- 特定的认知测试结果,包括低于标准值的MOCA分数和高于标准值的MMSE/GPCOG分数,是以前缺血性中风的风险因素.
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