Small Vessel Disease

Small vessel disease (SVD) refers to conditions where damage to arterioles and capillaries is predominant, leading to reduced, or interrupted perfusion of the affected organ. Data suggest that when this condition is evident in any organ, it is already systemic in its occurrence and consequences. SVD...

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Main Author: Antoine M. Hakim
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-09-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fneur.2019.01020/full
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author Antoine M. Hakim
Antoine M. Hakim
Antoine M. Hakim
author_facet Antoine M. Hakim
Antoine M. Hakim
Antoine M. Hakim
author_sort Antoine M. Hakim
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description Small vessel disease (SVD) refers to conditions where damage to arterioles and capillaries is predominant, leading to reduced, or interrupted perfusion of the affected organ. Data suggest that when this condition is evident in any organ, it is already systemic in its occurrence and consequences. SVD affects primarily organs that receive significant portions of cardiac output such as the brain, the kidney, and the retina. Thus, SVD is a major etiologic cause in debilitating conditions such as renal failure, blindness, lacunar infarcts, and dementia. The factors that lead to this devastating condition include all the known vascular risk factors when they are not strictly controlled, but lifestyles that include sedentary existence, obesity, and poor sleep patterns are also recognized drivers of SVD. In addition, depression is now recognized as a vascular risk factor. Inflammation is a mediator of SVD, but it is not known which factor(s) predominate in its etiology. This article emphasizes the need for more investigations to define this link further and suggests clinical and societal responses that might reduce the major impacts of this condition on populations.
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spelling doaj.art-5553180d16534ba485aebeaf562dc33d2022-12-21T18:49:04ZengFrontiers Media S.A.Frontiers in Neurology1664-22952019-09-011010.3389/fneur.2019.01020453063Small Vessel DiseaseAntoine M. Hakim0Antoine M. Hakim1Antoine M. Hakim2Ottawa Hospital Research Institute, Ottawa, ON, CanadaFaculty of Medicine, Brain and Mind Research Institute, University of Ottawa, Ottawa, ON, CanadaDivision of Neurology, University of Ottawa, Ottawa, ON, CanadaSmall vessel disease (SVD) refers to conditions where damage to arterioles and capillaries is predominant, leading to reduced, or interrupted perfusion of the affected organ. Data suggest that when this condition is evident in any organ, it is already systemic in its occurrence and consequences. SVD affects primarily organs that receive significant portions of cardiac output such as the brain, the kidney, and the retina. Thus, SVD is a major etiologic cause in debilitating conditions such as renal failure, blindness, lacunar infarcts, and dementia. The factors that lead to this devastating condition include all the known vascular risk factors when they are not strictly controlled, but lifestyles that include sedentary existence, obesity, and poor sleep patterns are also recognized drivers of SVD. In addition, depression is now recognized as a vascular risk factor. Inflammation is a mediator of SVD, but it is not known which factor(s) predominate in its etiology. This article emphasizes the need for more investigations to define this link further and suggests clinical and societal responses that might reduce the major impacts of this condition on populations.https://www.frontiersin.org/article/10.3389/fneur.2019.01020/fullSVDvascular risk factorsinflammationdementialifestyle
spellingShingle Antoine M. Hakim
Antoine M. Hakim
Antoine M. Hakim
Small Vessel Disease
Frontiers in Neurology
SVD
vascular risk factors
inflammation
dementia
lifestyle
title Small Vessel Disease
title_full Small Vessel Disease
title_fullStr Small Vessel Disease
title_full_unstemmed Small Vessel Disease
title_short Small Vessel Disease
title_sort small vessel disease
topic SVD
vascular risk factors
inflammation
dementia
lifestyle
url https://www.frontiersin.org/article/10.3389/fneur.2019.01020/full
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