关键词: 脑心血管疾病; 脑心同治; 多学科协作; 临床管理

Abstract: Cerebrocardiovascular diseases share common core pathophysiological mechanisms such as atherosclerosis and inflammatory responses, often presenting as comorbid cerebrocardiovascular diseases. This significantly increases the disability and mortality rates of patients and has become a major global public health challenge. The conventional organ-centered disciplinary diagnosis and treatment model has deficiencies such as fragmented risk assessment, insufficient treatment coordination, and neglect of the interactive effects of cerebrocardiovascular diseases, which makes it difficult to meet clinical needs. The concept of co-treatment of brain and heart integrates the holistic view of traditional Chinese medicine with modern neurocardiology, takes the brain-heart axis as the core mechanism, and emphasizes the holistic prevention and treatment of cerebrocardiovascular diseases through multidisciplinary collaboration. In recent years, domestic and foreign countries have achieved certain results in clinical practice by establishing joint diagnosis and treatment centers, interdisciplinary working groups, and providing guarantees through legislative forms. However, current practice still faces many challenges, such as insufficient comprehensive assessment of comorbid cerebrocardiovascular diseases, conflicts in treatment plans, and lack of overall prognosis evaluation. This article reviews the clinical practice, challenges, and prospects of co-treatment of brain and heart for comorbid cerebrocardiovascular diseases, aiming to provide reference for further clinical practice in this field.

Key words: Cerebrocardiovascular disease; Co-treatment of brain and heart; Multidisciplinary collaboration; Clinical management