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Updated: Jun 13, 2026

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
Neurocognitive function and cardiovascular disease
Shari R Waldstein1, Carrington Rice Wendell
1Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD 21250, USA. waldstei@umbc.edu
Insights
Cardiovascular disease impacts brain function and cognition, potentially predicting cognitive decline. Early intervention for cardiovascular risk factors may prevent cognitive impairment and dementia.
Area of Science:
- Neuroscience
- Cardiology
- Gerontology
Background:
- Cardiovascular (CV) diseases and risk factors detrimentally affect brain health and neurocognitive function.
- Impairments in cognition, including executive functions and memory, are linked to CV risk and disease severity across age groups.
- The potential for distinct subgroups of cognitive impairment and the predictive role of neurocognitive performance itself remain underexplored.
Purpose of the Study:
- To explore the relationship between cardiovascular health and neurocognitive function.
- To investigate whether neurocognitive performance patterns can predict the conversion to mild cognitive impairment (MCI) and dementia.
- To highlight the need for comprehensive neurocognitive assessments alongside other biomarkers for predictive modeling.
Main Methods:
- Review of existing literature on cardiovascular disease, risk factors, and their impact on cognitive function.
- Analysis of studies examining cognitive decrements across various domains (executive functions, attention, memory, etc.).
- Discussion of future research directions, emphasizing integrated assessment approaches.
Main Results:
- A broad spectrum of CV risk factors and diseases are associated with cognitive function decrements.
- Cognitive decline occurs across multiple domains and is linked to increasing CV risk and disease severity.
- The predictive capacity of neurocognitive performance for MCI and dementia conversion requires further investigation.
Conclusions:
- Neurocognitive function is significantly impacted by cardiovascular disease and risk factors.
- Neurocognitive performance patterns, integrated with other data, may predict future cognitive decline, MCI, and dementia.
- Aggressive prevention and early intervention of CV risk are crucial for mitigating cognitive impairment and dementia.
Abstract:
Cardiovascular (CV) diseases and their risk factors negatively impact the brain and neurocognitive function prior to stroke, dementia, or mild cognitive impairment (MCI). Indeed, a progression of neurocognitive and neurobiological impairments may be associated with increasingly severe manifestations of CV risk and disease. In samples ranging from children to elderly, a broad spectrum of CV risk factors, and both subclinical and clinical CV diseases, have been related to decrements in cognitive function and cognitive decline across multiple domains of performance including executive functions, attention, learning and memory, perceptuo-motor speed, and others. In contrast to the MCI literature, the possibility of distinct subgroups has not been explored. Further, it remains unknown whether neurocognitive performance (or its pattern) per se can predict conversion to MCI and later dementia. We suggest that neurocognitive function may contribute to such prediction in concert with relevant radiological, genetic, biomedical, sociodemographic, and other data. To best do so, future research would benefit from inclusion of a breadth of neurocognitive tests that tap multiple domains of function and have historical sensitivity to vascular and neurodegenerative pathology, in addition to biological or radiological assessment of such pathology. Aggressive efforts at prevention and early intervention with CV risk may play a critical role in the prevention of MCI or dementia.
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