左心室心肌力学:与认知功能障碍,脑血管疾病和循环生物标志物的关联
Eugene S J Tan1,2, Saima Hilal3,4,5, Siew Pang Chan2
1National University Heart Centre Singapore Singapore.
Journal of the American Heart Association
|April 7, 2025
概括
减少左心房管应变 (LAScd) 与没有心房动的个体的血管认知障碍 (VCI) 和大脑小血管疾病有关. 这一发现表明LAScd可能作为VCI的早期生物标志物.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 老年学是一门学科.
背景情况:
- 左心房 (LA) 应变与认知功能之间的联系,特别是在没有心房的人中,仍然不清楚.
- 研究LA菌株与认知障碍及其亚型 (血管与神经退行) 的关联至关重要.
研究的目的:
- 探索LA菌株与认知障碍之间的关系,包括其血管和神经退行性亚型.
- 通过检查与脑血管疾病标志物的关联来确定潜在机制.
主要方法:
- 在记忆诊所队列中,使用speckle追踪回声心脏图谱来评估LA菌株 (水库,导管[LAScd],收缩性).
- 参与者接受了脑部MRI,神经心理测试和生物标志物分析.
- 认知障碍被分类为血管认知障碍 (VCI) 或神经退行性.
主要成果:
- 在251名没有心房动的受试者中,71%的受试者有认知障碍,58%的受试者被归类为VCI.
- 减少LAScd与更严重的认知障碍和较差的记忆力有关.
- LAScd独立地与VCI相关,并与炎症标志物,神经营养过程和神经元损伤相关.
结论:
- 减少LA菌株,特别是LAScd,与血管起源的认知障碍和增加大脑小血管疾病负担有关.
- 在没有心房动的风险人群中,LAScd可以作为VCI的潜在生物标志物.
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