Demência mista: Revisão das evidências

Nilton Custodio, Rosa Montesinos, David Lira, Eder Herrera-Pérez, Yadira Bardales, Lucía Valeriano-Lorenzo

Resultado de la investigación: Contribución a una revistaArtículo de revisiónrevisión exhaustiva

38 Citas (Scopus)

Resumen

Mixed dementia is the coexistence of Alzheimer’s disease and cerebrovascular disease (CVD) in the same demented patient. Currently, its diagnosis and treatment remains a challenge for practitioners. To provide an overview of the epidemiology, pathogenesis, natural history, diagnosis, and therapy of Mixed Vascular-Alzheimer Dementia (MVAD). The literature was reviewed for articles published between 1990-2016 by using the keywords linked to MVAD. Neuropathological studies indicate that MVAD is a very common pathological finding in the elderly with a prevalence about of 22%. The distinction between Alzheimer’s dementia and vascular dementia (VD) is complex because their clinical presentation can overlap. There are international criteria for the MVAD diagnosis. The pharmacologic therapy shows modest clinical benefits that are similar among all drugs used in patients with Alzheimer’s dementia and VD. The non-pharmacologic therapy includes the rigorous management of cardiovascular risk factors (especially hypertension) and the promotion of a healthy diet. The diagnosis and treatment of MVAD cannot be improved without further studies. Currently available medications provide only modest clinical benefits once a patient has developed MVAD. In subjects at risk, the antihypertensive therapy and healthy diet should be recommend for preventing or slowing the progression of MVAD.

Título traducido de la contribuciónMixed dementia: A review of the evidence
Idioma originalPortugués
Páginas (desde-hasta)364-370
Número de páginas7
PublicaciónDementia e Neuropsychologia
Volumen11
N.º4
DOI
EstadoPublicada - 1 oct. 2017
Publicado de forma externa

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