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Chronic Kidney Disease II: Clinical Manifestations01:24

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Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
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Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
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Endocarditis II: Clinical Features of Infective Endocarditis01:25

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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
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Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
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临床表现 临床表现

Wendy Weiqiao Qiu1

  • 1Boston University School of Medicine, BOSTON, MA, USA; Boston University School of Medicine, 352 Beacon Street, Unit#5, MA, USA.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
PubMed
概括

周围炎症和内皮功能障碍增加了阿尔茨海默病 (AD) 的风险. 支臂动脉流介导扩张 (FMD) 可以预测AD痴呆症,更健康的内皮功能与较低的风险和更好的大脑健康有关.

科学领域:

  • 神经科学是一个神经科学.
  • 心血管科学 心血管科学
  • 老年学是一门学科.

背景情况:

  • 周围炎症会对内皮功能产生负面影响,并导致阿尔茨海默病 (AD) 的发病.
  • 支臂动脉流媒扩张 (FMD) 是导管动脉内皮功能的一个关键指标.

研究的目的:

  • 为了研究口病对AD痴呆风险的预测价值.
  • 探索内皮功能与AD生物标志物和大脑体积之间的关联.

主要方法:

  • 利用了2844名参与弗雷明汉心脏研究 (FHS) 后代队列的数据.
  • 在17年的随访期间评估了FMD基线测量,事件痴呆/AD,血AD生物标志物和大脑体积.

主要成果:

  • 与轻度认知障碍或痴呆症患者相比,具有正常认知功能的个人表现出更高的口病和高血压平均流速.
  • 较低的口病和高血压平均流速与AD痴呆风险的增加有显著的关联,即使在对共变量进行调整后.
  • 更高的内皮功能标志物的三分位数与较低的AD生物标志物水平和更大的大脑体积相关.

结论:

  • 这项研究在社区队列中建立了内皮功能障碍和AD痴呆风险之间的联系.

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  • 健康的大脑内皮似乎是老化过程中对认知衰退和AD发展的保护因素.