{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T03:16:39Z","timestamp":1785208599899,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,2,10]],"date-time":"2024-02-10T00:00:00Z","timestamp":1707523200000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2024,2]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n Our study was conducted aimed at investigating the potential correlation between cerebral microangiopathy and autonomic nervous dysfunction.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We initially included 164 hospitalized patients with cerebral microangiopathy at our hospital from November 2019 to January 2021. Based on the inclusion and exclusion criteria, a final total of 162 patients with cerebral microangiopathy were selected. According to the patient's Autonomic Symptom Profile (ASP) score, patients with a score greater than 22 were categorized into a group with concomitant autonomic dysfunction (71 cases, combined group), while those with a score below 22 were categorized into a group of isolated cerebral microangiopathy (83 cases, cerebral microangiopathy group). The general data and laboratory examination results of the two groups were analyzed, and Pearson correlation analysis was performed to evaluate the correlation between cerebral microangiopathy and autonomic dysfunction, as well as the influencing factors of cerebral microangiopathy patients combined with autonomic dysfunction.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n There were no significant differences between the two groups in terms of sex, BMI, smoking, drinking, family dementia history, diabetes, hypothyroidism, carotid atherosclerosis, obstructive sleep apnea hypopnea syndrome, hyperuricemia, hyperlipidemia, chronic obstructive pulmonary disease, Hamilton Anxiety Scale score, Hamilton Depression Scale score, 24\u2010h mean systolic blood pressure (SBP), 24\u2010h mean diastolic blood pressure DBP, daytime mean systolic blood pressure (dSBP), daytime mean diastolic blood pressure, nighttime mean systolic blood pressure (nSBP), nighttime mean diastolic blood pressure, 24\u2010h systolic blood pressure standard deviation (SBPSD), 24\u2010h diastolic blood pressure standard deviation, daytime diastolic blood pressure standard deviation, nighttime diastolic blood pressure standard deviation (nDBPSD), nDBPSD (\n p<\/jats:italic>\n \u00a0>\u00a0.05). However, significant differences were observed between the two groups regarding age, history of coronary heart disease, hypertension, leukoaraiosis, cognitive function, ASP score, SSR, 24\u2010h SBPSD, daytime systolic blood pressure standard deviation (dSBPSD), nighttime systolic blood pressure standard deviation (nSBPSD), standard deviation of RR interval (SDNN), root mean square value of successive RR interval difference (RMSSD), high\u2010frequency component (HF), and low\u2010frequency component (LF) (\n p<\/jats:italic>\n \u00a0<\u00a0.05). Moreover, the levels of TG, TC, HDL\u2010C, and LDL\u2010C did not show significant differences between the two groups (\n p<\/jats:italic>\n \u00a0>\u00a0.05), but there were significant differences in blood uric acid and homocysteine (Hcy) levels (\n p<\/jats:italic>\n \u00a0<\u00a0.05). Age, history of leukoaraiosis, cognitive function assessment, blood uric acid, Hcy levels, 24\u2010h SBPSD, dSBPSD, and nSBPSD showed positive correlations with ASP scores and SSR in patients with cerebral microangiopathy (\n p<\/jats:italic>\n \u00a0<\u00a0.001). In contrast, hypertension, SDNN, RMSSD, HF, and LF showed negative correlations with ASP scores and SSR (\n p<\/jats:italic>\n \u00a0<\u00a0.001). Moreover, coronary heart disease was negatively correlated with ASP scores but positively correlated with SSR (\n p<\/jats:italic>\n \u00a0<\u00a0.001). The independent variables included age, history of leukoaraiosis, cognitive function assessment, ASP score, SSR, blood uric acid, Hcy, bradykinin, coronary heart disease, hypertension, 24\u2010h SBPSD, dSBPSD, nSBPSD, SDNN, RMSSD, HF, and LF, which were indicators with differences in general data and laboratory indicators. The dependent variable was patients with cerebral microangiopathy combined with autonomic nervous dysfunction. The analysis results showed that age, history of leukoaraiosis, ASP score, SSR, 24\u2010h SBPSD, dSBPSD, nSBPSD, SDNN, RMSSD, HF, and LF were the influencing factors of patients with cerebral microangiopathy complicated with autonomic nervous dysfunction.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n We demonstrates that age, history of leukoaraiosis, cognitive function assessment, blood uric acid, Hcy level, 24\u2010h SBPSD, dSBPSD, nSBPSD, blood pressure, SDNN, RMSSD, HF, LF, and coronary heart disease were highly associated with cerebral microangiopathy with autonomic dysfunction. Furthermore, the influencing factors of cerebral microangiopathy with autonomic dysfunction are age, history of leukoaraiosis, ASP score, SSR, blood pressure variability, and HRV.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/brb3.3391","type":"journal-article","created":{"date-parts":[[2024,2,10]],"date-time":"2024-02-10T10:19:25Z","timestamp":1707560365000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Correlation analysis between cerebral microangiopathy and autonomic nervous dysfunction"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8794-9019","authenticated-orcid":false,"given":"Na","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Neurology The First Hospital of Hebei Medical University Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongmin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurology The First Hospital of Hebei Medical University Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Neurology The First Hospital of Hebei Medical University Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenyuan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurology The First Hospital of Hebei Medical University Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moqing","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Neurology The First Hospital of Hebei Medical University Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Neurology The First Hospital of Hebei Medical University Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanyong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurology The First Hospital of Hebei Medical University Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10286-018-0511-5"},{"issue":"1","key":"e_1_2_9_3_1","first-page":"12","article-title":"Physiology and pathophysiology of the autonomic nervous system","volume":"26","author":"Benarroch E. 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