Clinical effect of carotid stenting on cognitive abilities - possible evaluation using candidates for biomarkers

Micro- and macrovascular consequences of atherosclerosis, arterial hypertension, dyslipidemia, and smoking can affect neurotransmission and markers for neuronal activity. The potential direction and specifics are under study. It is also known that optimal control of hypertension, diabetes, and dysli...

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Main Authors: Teodora Yaneva-Sirakova, Dobrin Vassilev, Kiril Karamfiloff, Julieta Hristova, Monika Shumkova, Latchezar Traykov
Format: Article
Language:English
Published: Pensoft Publishers 2023-04-01
Series:Folia Medica
Subjects:
Online Access:https://foliamedica.bg/article/79996/download/pdf/
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author Teodora Yaneva-Sirakova
Dobrin Vassilev
Kiril Karamfiloff
Julieta Hristova
Monika Shumkova
Latchezar Traykov
author_facet Teodora Yaneva-Sirakova
Dobrin Vassilev
Kiril Karamfiloff
Julieta Hristova
Monika Shumkova
Latchezar Traykov
author_sort Teodora Yaneva-Sirakova
collection DOAJ
description Micro- and macrovascular consequences of atherosclerosis, arterial hypertension, dyslipidemia, and smoking can affect neurotransmission and markers for neuronal activity. The potential direction and specifics are under study. It is also known that optimal control of hypertension, diabetes, and dyslipidemia in midlife may positively affect cognitive functioning later in life. However, the role of hemodynamically significant carotid stenoses in neuronal activity markers and cognitive functioning is still being debated. With the increased use of interventional treatment for extracranial carotid disease, the question of whether it might affect neuronal activity indicators and whether we can stop or even reverse the path of cognitive deterioration in patients with hemodynamically severe carotid stenoses naturally emerges. The existing state of knowledge provides us with ambiguous answers. We sought the literature for possible markers of neuronal activity that can explain any potential difference in cognitive outcomes and guide us in the assessment of patients throughout carotid stenting. The combination of biochemical markers for neuronal activity with neuropsychological assessment and neuroimaging may be important from practical point of view and may provide the answer to the question for the consequences of carotid stenting for long-term cognitive prognosis.
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spelling doaj.art-08e2cb27d65246b3ae8a2a014b4adb582023-05-05T08:11:07ZengPensoft PublishersFolia Medica1314-21432023-04-0165219319810.3897/folmed.65.e7999679996Clinical effect of carotid stenting on cognitive abilities - possible evaluation using candidates for biomarkersTeodora Yaneva-Sirakova0Dobrin Vassilev1Kiril Karamfiloff2Julieta Hristova3Monika Shumkova4Latchezar Traykov5Medical University of SofiaUniversity of RuseCardiology Clinic, Alexandrovska University HospitalClinical Laboratory, Alexandrovska University HospitalMedical University of SofiaMedical University of Sofia, Bulgarian Academy of SciencesMicro- and macrovascular consequences of atherosclerosis, arterial hypertension, dyslipidemia, and smoking can affect neurotransmission and markers for neuronal activity. The potential direction and specifics are under study. It is also known that optimal control of hypertension, diabetes, and dyslipidemia in midlife may positively affect cognitive functioning later in life. However, the role of hemodynamically significant carotid stenoses in neuronal activity markers and cognitive functioning is still being debated. With the increased use of interventional treatment for extracranial carotid disease, the question of whether it might affect neuronal activity indicators and whether we can stop or even reverse the path of cognitive deterioration in patients with hemodynamically severe carotid stenoses naturally emerges. The existing state of knowledge provides us with ambiguous answers. We sought the literature for possible markers of neuronal activity that can explain any potential difference in cognitive outcomes and guide us in the assessment of patients throughout carotid stenting. The combination of biochemical markers for neuronal activity with neuropsychological assessment and neuroimaging may be important from practical point of view and may provide the answer to the question for the consequences of carotid stenting for long-term cognitive prognosis.https://foliamedica.bg/article/79996/download/pdf/BDNFcarotid stentingcognitive impairmentdeme
spellingShingle Teodora Yaneva-Sirakova
Dobrin Vassilev
Kiril Karamfiloff
Julieta Hristova
Monika Shumkova
Latchezar Traykov
Clinical effect of carotid stenting on cognitive abilities - possible evaluation using candidates for biomarkers
Folia Medica
BDNF
carotid stenting
cognitive impairment
deme
title Clinical effect of carotid stenting on cognitive abilities - possible evaluation using candidates for biomarkers
title_full Clinical effect of carotid stenting on cognitive abilities - possible evaluation using candidates for biomarkers
title_fullStr Clinical effect of carotid stenting on cognitive abilities - possible evaluation using candidates for biomarkers
title_full_unstemmed Clinical effect of carotid stenting on cognitive abilities - possible evaluation using candidates for biomarkers
title_short Clinical effect of carotid stenting on cognitive abilities - possible evaluation using candidates for biomarkers
title_sort clinical effect of carotid stenting on cognitive abilities possible evaluation using candidates for biomarkers
topic BDNF
carotid stenting
cognitive impairment
deme
url https://foliamedica.bg/article/79996/download/pdf/
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