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脑心交流在健康与疾病中的作用

Brain-heart communication in health and diseases.

机构信息

Department of Cardiology, The Third Affiliated Hospital of Soochow University, Changzhou 213003, China.

Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.

出版信息

Brain Res Bull. 2022 Jun 1;183:27-37. doi: 10.1016/j.brainresbull.2022.02.012. Epub 2022 Feb 22.

Abstract

Tight connections between the brain and heart have attracted a considerable amount of attention. This review focuses on the anatomical (extrinsic cardiac autonomic nervous system and intrinsic cardiac autonomic nervous system) and functional (neuroendocrine-heart axis and neuroimmune-heart axis) connections between the brain and heart, the linkage between central nervous system diseases and cardiovascular diseases, the harm of sympathetic hyperactivity to the heart, and current neuromodulation therapies. Depression is a comorbidity of cardiovascular diseases, and the two are causally related. This review summarizes the mechanisms and treatment of depression and cardiovascular diseases, providing theoretical evidence for basic research and clinical studies to improve treatment options.

摘要

大脑和心脏之间的紧密联系引起了相当多的关注。这篇综述重点介绍了大脑和心脏之间的解剖学(心脏自主神经系统的外在部分和内在部分)和功能(神经内分泌 - 心脏轴和神经免疫 - 心脏轴)联系、中枢神经系统疾病和心血管疾病之间的联系、交感神经过度活跃对心脏的危害以及目前的神经调节疗法。抑郁症是心血管疾病的一种合并症,两者存在因果关系。本文总结了抑郁症和心血管疾病的发病机制和治疗方法,为基础研究和临床研究提供了理论依据,以改善治疗选择。

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