Cerebral small vessel disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 45 years and over; 2. Presence of CSVD markers on MRI, shows any of the following: (1) White matter hyperintensities, Fazekas score >= 2; (2) Fazekas = 1 with >= 2 vascular risk factors (hypertension, hyperlipidemia, diabetes, obesity, current smoking, past medical history of vascular events except stroke); (3) Fazekas = 1 with lacuna; (4) Recent subcortical lacunar infarction based upon imaging; 3. HRV high frequency parameter < 100 ms2; 4. MoCA < 26; 5. Independent in activities of daily life (mRS <= 2); 6. Provide written informed consent.
Exclusion criteria
Exclusion criteria: 1. Acute cerebral infarction or acute cerebral hemorrhage; 2. Acute subarachnoid hemorrhage or previous history of cerebrovascular malformation, aneurysmal subarachnoid hemorrhage or untreated aneurysms (> 3mm in diameter); 3. Diagnosed neurodegenerative diseases; 4. Presence of non-vascular white matter lesions, e.g.multiple sclerosis and metabolic encephalopathy; 5. Frequent arrhythmia or taking drugs affecting autonomic nerve function; 6. Diagnosis of mental disorder; 7. Uneducated; 8. Contraindications of Magnetic Resonance Imaging examination (e.g. claustrophobia.); 9. Severe organic disease, such as malignant tumor, with a life expectancy less than 2 years; 10. Unable to follow up due to geographical or other reasons; 11. Participate in other clinical trials at the same time.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Heart rate variability;Cognitive function;Brain MRI; | — |
Secondary
| Measure | Time frame |
|---|---|
| Vasoregulatory function;Brainwave status;Emotional state;Sleep;Cerebrovascular reactivity;Neurovascular coupling;Gait; | — |
Countries
China
Contacts
Beijing Tiantan Hospital affiliated to Capital Medical University