帕金森病中的心血管功能失调和认知障碍 (综述)
Ibrahim Khalil1, Reem Sayad2, Ahmed M Kedwany2
1Faculty of Medicine, Alexandria University, Alexandria 5372066, Egypt.
Medicine international
|October 2, 2024
概括
帕金森病 (PD) 的认知障碍与心血管自主功能障碍有关. 管理这些功能障碍可能有助于减缓认知衰退并改善患者的治疗结果.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 老年学是指老年学的学科.
背景情况:
- 认知障碍是帕金森病 (PD) 中常见的非运动症状,患者之间存在很大差异.
- 病理生理因素包括粉样β和积,氧化应激和神经炎症.
- 心血管自主功能障碍 (dysautonomia) 在PD中很常见,并影响认知能力下降,跌倒和死亡率.
研究的目的:
- 审查与帕金森病中心血管dysautonomia相关的认知变化.
- 讨论修改和管理这些认知变化的潜在策略.
主要方法:
- 对PD认知障碍和心血管自主功能障碍现有文献的综述.
- 讨论病理生理学联系和诊断方法.
主要成果:
- 心血管变化,如正静性低血压和异常的血压模式在PD中很常见,随着疾病的进展而恶化.
- 认知障碍可能源于大脑血流减少,缺血性病变,白质异常和神经退行.
- 缺血症的症状往往是微妙的和未被诊断出来的,需要进行门诊血压监测.
结论:
- 心血管自主功能障碍是帕金森病认知障碍的一个重要因素.
- 针对dysautonomia的干预措施可能提供一种管理认知衰退的策略.
- 推对PD患者推进行24小时的门诊血压监测,可疑患有dysautonomia.
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