休息心率与认知衰退的U形关联
Eugene S J Tan1,2, Ming Ann Sim2,3,4, Lucia Li3,5
1Department of Cardiology, National University Heart Centre, Singapore 119074, Singapore.
Brain communications
|November 11, 2025
概括
缓慢和快速的静止心率都与认知衰退和大脑变化有关. 这种U形的关联表明有不同的潜在机制影响大脑健康和认知轨迹.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 老年学是一门学科.
背景情况:
- 不一致的发现将静止心率 (RHR) 与认知能力下降联系起来.
- 在RHR-认知关联背后的机制仍然不清楚.
研究的目的:
- 研究RHR,认知和大脑生物标志物之间的关联.
- 检查与RHR相关的横截面和纵向认知变化.
主要方法:
- 643名记忆诊所受试者的前性队列研究 (不包括心房动).
- 评估了RHR,认知功能,MRI和生物标志物 (pTau-181,NfL).
- 对多个变量进行调整的统计分析.
主要成果:
- 与60-69bpm相比,胸心 (<60bpm) 和升高的RHR (≥70bpm) 与更差的基线认知相关.
- 升高的RHR与加速的全球认知衰退有关;胸与加速的功能衰退有关.
- 胸与灰质减少和较高的pTau-181/NfL相关;RHR升高与心脏病发作增加和白质强度过高.
结论:
- RHR显示了与认知障碍和大脑异常的U形关联.
- 截然不同的机制可能是白心脏和高RHR对认知的影响的基础.
- 对RHR认知机制的进一步研究是有必要的.
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