Subclinical HMOD in Hypertension: Brain Imaging and Cognitive Function

被引:2
作者
Scuteri, Angelo [1 ,2 ]
Incalzi, Raffaele Antonelli [3 ]
机构
[1] Univ Cagliari, Dipartimento Sci Med & Sanita Pubbl, Cagliari, Italy
[2] Azienda Osped Univ Cagliari, Univ Hspital Monserrato, Internal Med Unit, Cagliari, Italy
[3] Univ Campus Biomed, Cattedra Med Interna, Rome, Italy
关键词
Hypertension; Hypertension Mediated Organ Damage; Arterial stiffness; Cognitive function; White Matter Lesions; Dementia; WHITE-MATTER HYPERINTENSITIES; ORGAN DAMAGE; OLDER-ADULTS; DECLINE; IMPAIRMENT; RISK; AGE; ASSOCIATION; DISEASE; STATEMENT;
D O I
10.1007/s40292-022-00546-1
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Latest European Societies of Hypertension and Cardiology (ESH/ESC) have acknowledged that brain represent a relevant target for hypertension mediated organ damage (HMOD). In fact, brain damage can be the only HMOD in more than 30% of hypertensive subjects, evolving undetected for several years if not appropriately screened. However, no clear position has been indicated on how to evaluate brain HMOD. The present manuscript would contribute to briefly summarize structural and functional brain HMOD for the medical community dealing with older hypertensive patients. Arterial aging is proposed as possible "common soil" underlying structural and functional brain HMOD. Finally, a simple algothythm to screen older hypertensive subjects for cognitive function is proposed and discussed.
引用
收藏
页码:577 / 583
页数:7
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