在患有心血管疾病的人群中,生物心脏和大脑衰老
Elizabeth Mcavoy1,2,3, Matthias Wilms1,2,4,5,6, Nils D Forkert1,2,4,7
1Department of Radiology, University of Calgary, Calgary, AB, Canada.
Frontiers in cardiovascular medicine
|July 22, 2025
概括
心血管疾病对大脑和心脏的衰老有不同的影响,挑战了心脑轴理论. 量化大脑年龄差距和心脏年龄差距揭示了各种疾病和性别的影响.
科学领域:
- 神经科学是一个神经科学.
- 心脏病学 心脏病学
- 老年学是一门学科.
背景情况:
- 心脑轴假设假设心脏和大脑之间的双向通信.
- 心血管疾病与增加神经系统疾病风险有关.
- 心血管疾病对大脑衰老的定量影响尚不清楚.
研究的目的:
- 探索心血管疾病如何影响生物大脑和心脏衰老.
- 量化大脑年龄差距 (BAG) 和心脏年龄差距 (HAG).
- 研究心血管疾病中BAG和HAG之间的关系.
主要方法:
- 利用英国生物银行数据,包括脑和心脏MRI,脉冲波分析.
- 在健康受试者身上训练了机器学习模型 (BAG的CNN,HAG的CatBoost).
- 计算心血管疾病患者的BAG和HAG,按Phecodes和性别分类.
主要成果:
- 与健康人群相比,在36个心血管疾病组中的24组中发现了BAG和HAG分布的显著差异.
- 在疾病组内,没有观察到BAG和HAG之间的强相关性.
- 对于低血压和心脏导电障碍等疾病,BAG和HAG的性别特异性差异被注意到.
结论:
- 联合BAG和HAG提供了关于心血管和神经衰老相互作用的见解.
- 缺乏强烈的BAG-HAG相关性质疑心脑轴理论对年龄差异生物标志物的概括性.
- 心脏和大脑中的异质衰老过程需要进一步研究.
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