Ravona-Springer Ramit, Davidson Michael, Noy Shlomo
Memory Clinic, Sackler School of Medicine, Tel Aviv University, Israel.
CNS Spectr. 2003 Nov;8(11):824-33. doi: 10.1017/s109285290001926x.
The distinction between Alzheimer's disease and vascular dementia, the two most common types of dementia, has been undermined by recent advances in epidemiologic, clinical, imaging, and neuropathological studies. Cardiovascular risk factors, traditionally regarded as distinguishing criteria between the two entities, have been shown to be associated with both AD and vascular dementia. In this article, we propose mechanisms of action of cardiovascular risk factors in AD, suggest possible explanations for the overlap with vascular dementia and discuss the implications this might have on future differential diagnosis, research, and treatment strategies.
阿尔茨海默病(AD)和血管性痴呆是两种最常见的痴呆类型,近期流行病学、临床、影像学及神经病理学研究的进展模糊了二者之间的区别。心血管危险因素传统上被视为区分这两种疾病的标准,但现已证明其与AD和血管性痴呆均有关联。在本文中,我们提出心血管危险因素在AD中的作用机制,对其与血管性痴呆重叠的现象给出可能的解释,并讨论这对未来鉴别诊断、研究及治疗策略可能产生的影响。