在心房的患者中,认知功能差异与各种并发症不同
Mei-Qi Zhao1, Ting Shen1, Man-Lin Zhao1
1Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, National Clinical Research Center for Cardiovascular Diseases, Beijing, China.
Journal of geriatric cardiology : JGC
|November 3, 2025
概括
轻度认知障碍 (MCI) 影响超过三分之一的心房动 (AF) 患者,特别是那些患有多种心血管疾病的患者. 早期认知查对于管理伴随疾病的AF患者至关重要.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 老年病的医生 老年病的医生
背景情况:
- 轻度认知障碍 (MCI) 在心房动 (AF) 患者中很普遍.
- 心血管并发症可能会加速AF患者的MCI发展,影响自我护理.
- 了解MCI与并发症的联系对于AF患者的管理至关重要.
研究的目的:
- 为了确定MCI患病率和AF患者的特征.
- 调查心血管并发症和AF中MCI之间的关联.
- 分析并发症如何影响AF中的特定认知领域.
主要方法:
- 进行认知评估的AF患者的横截面分析 (2017-2021年).
- 蒙特利尔认知评估用于分类MCI.
- 逻辑回归和曼-惠特尼U测试分析了并发症关联和认知领域差异.
主要成果:
- 在4136名AF患者中,33.5%患有MCI.
- 高血压,心力衰竭和减少喷射分数与较高的MCI患病率有关.
- 更高的CHA2DS2-VASc得分和增加的动脉样硬化心血管疾病负担与更高的MCI风险相关.
结论:
- 在AF患者中,MCI是常见的,并且与心血管多发症有很强的联系.
- 患有多种并发症的患者面临MCI风险升高.
- 建议对AF患者进行常规认知评估,以加强自我管理和综合护理.
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