Heart & Brain Laboratory, Western University, London, ON, Canada.
Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Neurol Sci. 2021 May;42(5):1751-1758. doi: 10.1007/s10072-021-05128-y. Epub 2021 Mar 9.
Strokes are the paradigmatic example of the sudden impairment of the cerebral regulation of cardiac autonomic regulation. Although several aspects of dysautonomic cardiovascular regulation post stroke remain unanswered, there has been a wealth of research in this area in the last decade. In this article, we present a state-of-the-art review on the anatomical and functional organization of cardiovascular autonomic regulation, and the pathophysiology, incidence, time course, diagnosis, clinical aspects, prognosis, and management of post-stroke cardiovascular autonomic dysfunction.
中风是大脑调节心脏自主神经调节突然受损的典型例子。尽管中风后自主神经心血管调节的几个方面仍未得到解答,但在过去十年中,该领域已有大量研究。本文就心血管自主神经调节的解剖和功能组织,以及中风后心血管自主功能障碍的病理生理学、发生率、时程、诊断、临床方面、预后和治疗进行了综述。