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Cognitive profile in persons with systolic and diastolic heart failure

Ponrathi Athilingam1, Rita F D'Aoust, Leslie Miller

  • 1College of Nursing, University of South Florida, Tampa, FL 33612, USA. pathilin@health.usf.edu

Congestive Heart Failure (Greenwich, Conn.)
|September 11, 2012
PubMed

Insights

Individuals with heart failure (HF) face higher cognitive impairment risks. This study found distinct cognitive patterns in systolic versus diastolic HF, highlighting the need for tailored interventions.

Area of Science:

  • Cardiology
  • Neurology
  • Psychology

Background:

  • Heart failure (HF) significantly increases the risk of cognitive impairment compared to the general population.
  • Individuals with HF exhibit varied cognitive impairment patterns, necessitating further investigation into specific HF types.

Purpose of the Study:

  • To analyze Montreal Cognitive Assessment (MoCA) scores in community-dwelling adults with systolic and diastolic heart failure.
  • To identify differences in cognitive performance between systolic and diastolic heart failure groups.

Main Methods:

  • Secondary analysis of a cross-sectional study involving 90 community-dwelling adults.
  • Comparison of MoCA scores and specific cognitive domain performance between systolic HF (n=69) and diastolic HF (n=21) groups.

Main Results:

  • A statistically significant difference in mean MoCA scores was observed between systolic (22.9 ± 2.31) and diastolic HF (24.8 ± 2.76) groups (P=.030).
  • Significant differences were found in visuo-spatial/executive function (P=.026), attention (P=.049), abstraction (P=.014), and delayed recall (P=.048) between the groups.

Conclusions:

  • Systolic and diastolic heart failure are associated with distinct cognitive profiles.
  • Future research should focus on identifying these varying cognitive profiles to develop targeted interventions for individuals with HF.

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