Uchmanowicz Izabella, Rosano Giuseppe, Francesco Piepoli Massimo, Vellone Ercole, Czapla Michał, Lisiak Magdalena, Diakowska Dorota, Prokopowicz Anna, Aleksandrowicz Krzysztof, Nowak Bernadetta, Wleklik Marta, Faulkner Kenneth M
Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland.
Institute of Heart Diseases, University Hospital, Wroclaw, Poland.
Arch Med Sci. 2023 Apr 2;19(4):912-920. doi: 10.5114/aoms/162369. eCollection 2023.
Pathological processes associated with ageing increase the risk of cognitive deficits and dementia. Frailty syndrome, also known as weakness or reserve depletion syndrome, may significantly accelerate these pathological processes in the elderly population. Frailty syndrome is characterized by decreased physiological function and neuropsychiatric symptoms, including cognitive decline and depressive states. In people with cardiovascular disease, the risk of frailty is 3 times higher. Frailty syndrome is particularly prevalent in severe heart failure, which increases the risk of mortality, increases hospital readmission, and reduces patients' quality of life. In addition, co-occurrence of cognitive impairment and frailty syndrome significantly increases the risk of dementia and other adverse outcomes, including mortality, in the heart failure population.
与衰老相关的病理过程会增加认知缺陷和痴呆的风险。衰弱综合征,也被称为虚弱或储备耗竭综合征,可能会显著加速老年人群中的这些病理过程。衰弱综合征的特征是生理功能下降和神经精神症状,包括认知衰退和抑郁状态。在患有心血管疾病的人群中,衰弱风险高出3倍。衰弱综合征在严重心力衰竭中尤为普遍,这会增加死亡风险、增加再次入院率并降低患者的生活质量。此外,认知障碍和衰弱综合征同时出现会显著增加心力衰竭人群患痴呆和其他不良后果(包括死亡)的风险。