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Published on: July 21, 2023
Heart-brain Interactions in Heart Failure
Nadja Scherbakov1,2, Wolfram Doehner1,2,3
1Centre for Stroke Research Berlin, Charité University Hospital Berlin, Germany.
Insights
Heart failure (HF) impacts brain function, affecting symptoms and prognosis. Understanding the heart-brain interaction is crucial for managing HF and its comorbidities.
Area of Science:
- Cardiology
- Neurology
- Medical Sciences
Background:
- Heart failure (HF) is a global health concern with increasing incidence.
- HF is associated with various conditions impacting disease progression, patient function, and healthcare costs.
- The interplay between cardiac dysfunction and cerebral alterations significantly influences HF symptoms, comorbidities, and patient outcomes.
Purpose of the Study:
- To provide a condensed overview of the 2018 Heart Failure Association's position paper on heart-brain interaction.
- To elucidate the reciprocal relationship between pathological brain conditions and heart failure.
- To discuss treatment-related interactions in the context of heart failure and brain health.
Main Methods:
- Review and summarization of the 2018 position paper.
- Analysis of the impact of brain conditions on HF.
- Discussion of medical, interventional, and device-related treatment interactions.
Main Results:
- Acute and chronic brain hypoperfusion negatively affect HF.
- Impairment of higher cortical and brain stem functions are linked to HF progression.
- Treatment strategies can influence the heart-brain axis in HF patients.
Conclusions:
- The interaction between the heart and brain is a critical factor in heart failure management.
- Addressing cerebral conditions is essential for improving HF patient prognosis and quality of life.
- Further research into heart-brain interactions can optimize HF treatment strategies.
Abstract:
Heart failure (HF) is a complex disease with a growing incidence worldwide. HF is accompanied by a wide range of conditions which affect disease progression, functional performance and contribute to growing healthcare costs. The interactions between a failing myocardium and altered cerebral functions contribute to the symptoms experienced by patients with HF, affecting many comorbidities and causing a poor prognosis. This article provides a condensed version of the 2018 position paper from the Study Group on Heart and Brain Interaction of the Heart Failure Association. It addresses the reciprocal impact on HF of several pathological brain conditions, including acute and chronic low perfusion of the brain, and impairment of higher cortical and brain stem functions. Treatment-related interactions - medical, interventional and device-related - are also discussed.
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