注意力作为心肌梗塞后认知障碍中受到影响的主要认知领域:一个前性的多中心研究
Dominika Kasprzak1, Janusz Rzeźniczak2, Katarzyna Kaczmarek-Majer3,4
1Department of Cardiology, J. Strus Hospital, Poznań, 61-285, Poland. domi.kasprzak@gmail.com.
Scientific reports
|May 9, 2025
概括
心肌梗塞 (MI) 后的认知障碍 (CI) 不同,一些患者的情况有所改善,另一些患者的情况有所下降. 注意功能是评估心脏病后认知变化的关键.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 心理学 心理学 心理学
背景情况:
- 心肌梗塞 (MI) 可以影响认知功能.
- 认知障碍 (CI) 是心脏病发作后的潜在并发症.
- 了解CI后MI的轨迹对于患者管理至关重要.
研究的目的:
- 分析周心肌梗塞 (MI) 期间和6个月随访期间患者认知障碍 (CI) 的患病率和模式.
- 研究认知功能变化与特定患者群体之间的关系.
- 评估迷你精神状态检查 (MMSE) 和时钟绘图测试 (CDT) 在评估MI后CI的实用性.
主要方法:
- 一组326名患者正在接受MI后认知功能的评估.
- 使用迷你精神状态检查 (MMSE) 和时钟绘图测试 (CDT) 评估认知功能.
- 根据CI的存在和时间,患者被分为四组:持久性,短暂的近心梗塞,短暂的晚期发作和没有CI.
主要成果:
- 结合性结合组 (MMSE) 的患病率:8.9%是持续性,16.3%是短暂的围心,7.7%是短暂的晚期发作,67.1%没有结合性结合.
- 注意力功能的变化与认知状态的改善或恶化相关.
- 很大一部分MMSE识别的CI患者的CDT得分正常,特别是那些注意力受损的患者.
结论:
- 心脏病发作后,认知功能表现出动态变化,观察到改善和恶化.
- 注意力功能受损似乎是后MICI的常见和潜在的统一病因因素.
- CDT与MMSE的注意力评估组件相结合,可能足以在后心脏病患者中进行初始认知查.
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