心房动,大脑结构和认知功能:一个调解分析
Jung-Ho Yang1,2, Sun-Seog Kweon2, Yu-Mi Kim3
1Regional Cardiocerebrovascular Center, Chonnam National University Hospital, Gwangju, Korea.
Korean circulation journal
|January 21, 2026
概括
心房动 (AF) 与大脑缩和认知能力下降有关. 大脑结构部分调解了这种AF-认知关系,突出了综合护理的需要.
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:
- 心房动 (AF) 增加了脑血管疾病和认知障碍的风险.
- 有限证据表明,大脑结构变化中介于AF-认知联系,特别是在亚洲人群中.
研究的目的:
- 研究AF,MRI测量的大脑结构和认知功能之间的关联.
- 评估AF-认知关系中大脑结构变化的调解作用.
主要方法:
- 分析了来自KoGES-CAVAS-C队列的2662名参与者,没有先前的中风或缺失的数据.
- 通过心电图识别AF,使用首尔神经心理查电池核心评估认知.
- 使用MRI测量大脑体积和白质完整性;进行回归和调解分析.
主要成果:
- 50名参与者 (1.9%) 患有AF;他们表现出较低的总大脑体积和减少的区域体积.
- 在AF组显示较差的整体认知功能,包括记忆和执行功能.
- AF与较低的总大脑体积 (p=0.005) 和认知分数 (p=0.037) 相关.
- 总大脑体积部分介导了AF-认知关联 (p=0.007),解释了11%的效应.
结论:
- 心房动与大脑缩和认知障碍有关.
- 大脑结构部分介导着AF与认知功能之间的关系.
- 综合心血管和认知评估是AF管理的建议.
相关概念视频
Structural Protein Function
29.8K
Structural proteins are a category of proteins responsible for functions ranging from cell shape and movement to providing support to major structures such as bones, cartilage, hair, and muscles. This group includes proteins such as collagen, actin, myosin, and keratin.
Collagen, the most abundant protein in mammals, is found throughout the body. In connective tissue, such as skin, ligaments, and tendons, it provides tensile strength and elasticity. In bones and teeth, it mineralizes to...
Collagen, the most abundant protein in mammals, is found throughout the body. In connective tissue, such as skin, ligaments, and tendons, it provides tensile strength and elasticity. In bones and teeth, it mineralizes to...
29.8K
Structural Protein Function
3.2K
3.2K
Amyloid Fibrils
11.7K
Amyloid fibrils are aggregates of misfolded proteins. Under most circumstances, misfolded proteins are either refolded by chaperone proteins or degraded by the proteasome. However, in the case of a mutation or a disease, these proteins can accumulate to form large clusters and often further assemble to form elongated fibers, called fibrils.
Amyloid deposits were observed as early as 1639 in the liver and the spleen. In 1854, Rudolph Virchow performed iodine staining,...
Amyloid deposits were observed as early as 1639 in the liver and the spleen. In 1854, Rudolph Virchow performed iodine staining,...
11.7K
Amyloid Fibrils
6.3K
6.3K
Fruit Development, Structure, and Function
25.0K
Fruits form from a mature flower ovary. As seeds develop from the ovules contained within, the ovary wall undergoes a series of complex changes to form fruit. In some fruits, such as soybeans, the ovary wall dries; in other fruits, such as grapes, it remains fleshy. In some cases, organs other than the ovary contribute to fruit formation; such fruits are called accessory fruits.
25.0K
Cognitive Theories: Lazarus Mediational Theory of Emotion
2.0K
Richard Lazarus' cognitive mediational theory highlights the pivotal role of cognitive appraisal in shaping emotional responses. According to this theory, the evaluation of a stimulus — based on personal values, goals, beliefs, and expectations — mediates the emotional response. This appraisal process is immediate and often occurs unconsciously, influencing the intensity and nature of the resulting emotion.
Cognitive Appraisal and Emotional Response
Lazarus proposed that...
Cognitive Appraisal and Emotional Response
Lazarus proposed that...
2.0K


