دورية أكاديمية
أعرض في EDS

Small-Vessel Disease and Intracranial Large Artery Disease in Brain MRI Predict Dementia and Acute Coronary Syndrome, Respectively: A Prospective, Observational Study in the Population at High Vascular Risk.

التفاصيل البيبلوغرافية
العنوان: Small-Vessel Disease and Intracranial Large Artery Disease in Brain MRI Predict Dementia and Acute Coronary Syndrome, Respectively: A Prospective, Observational Study in the Population at High Vascular Risk.
المؤلفون: Kitagawa K; Department of Neurology Tokyo Women's Medical University Hospital Tokyo Japan., Toi S; Department of Neurology Tokyo Women's Medical University Hospital Tokyo Japan., Hosoya M; Department of Neurology Tokyo Women's Medical University Hospital Tokyo Japan., Yoshizawa H; Department of Neurology Tokyo Women's Medical University Hospital Tokyo Japan.
المصدر: Journal of the American Heart Association [J Am Heart Assoc] 2024 Jul 02; Vol. 13 (13), pp. e033512. Date of Electronic Publication: 2024 Jun 27.
نوع المنشور: Journal Article; Observational Study
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 101580524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2047-9980 (Electronic) Linking ISSN: 20479980 NLM ISO Abbreviation: J Am Heart Assoc Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford : Wiley-Blackwell
مواضيع طبية MeSH: Acute Coronary Syndrome*/diagnostic imaging , Acute Coronary Syndrome*/epidemiology , Acute Coronary Syndrome*/diagnosis , Dementia*/epidemiology , Dementia*/diagnostic imaging , Cerebral Small Vessel Diseases*/diagnostic imaging , Cerebral Small Vessel Diseases*/epidemiology , Predictive Value of Tests*, Humans ; Male ; Female ; Prospective Studies ; Aged ; Middle Aged ; Japan/epidemiology ; Magnetic Resonance Angiography ; Risk Factors ; Risk Assessment ; Magnetic Resonance Imaging ; Incidence ; Prognosis ; Stroke/epidemiology ; Stroke/diagnostic imaging ; Stroke/etiology ; Brain/diagnostic imaging ; Brain/pathology
مستخلص: Background: We aimed to clarify the predictive value of cerebral small-vessel disease and intracranial large artery disease (LAD) observed in magnetic resonance imaging of the brain and magnetic resonance angiography on future vascular events and cognitive impairment.
Methods and Results: Data were derived from a Japanese cohort with evidence of cerebral vessel disease on magnetic resonance imaging. This study included 862 participants who underwent magnetic resonance angiography after excluding patients with a modified Rankin Scale score >1 and Mini-Mental State Examination score <24. We evaluated small-vessel disease such as white matter hyperintensities and lacunes in magnetic resonance imaging and LAD with magnetic resonance angiography. Outcomes were incident stroke, dementia, acute coronary syndrome, and all-cause death. Over a median follow-up period of 4.5 years, 54 incident stroke, 39 cases of dementia, and 27 cases of acute coronary syndrome were documented. Both small-vessel disease (white matter hyperintensities and lacunes) and LAD were associated with stroke; however, only white matter hyperintensities were related to dementia. In contrast, only LAD was associated with acute coronary syndrome. Among the 357 patients with no prior history of stroke, coronary or peripheral artery disease, or atrial fibrillation, white matter hyperintensities emerged as the sole predictor of future stroke and dementia, while LAD was the sole predictor of acute coronary syndrome.
Conclusions: Among cerebral vessels, small-vessel disease could underlie the cognitive impairment while LAD was associated with coronary artery disease as atherosclerotic vessel disease.
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فهرسة مساهمة: Keywords: acute coronary syndrome; cerebral small‐vessel disease; dementia; intracranial large artery disease; stroke
تواريخ الأحداث: Date Created: 20240627 Date Completed: 20240702 Latest Revision: 20240720
رمز التحديث: 20240720
مُعرف محوري في PubMed: PMC11255692
DOI: 10.1161/JAHA.123.033512
PMID: 38934848
قاعدة البيانات: MEDLINE
الوصف
تدمد:2047-9980
DOI:10.1161/JAHA.123.033512