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Integrating assessment of cognitive status in elderly cardiovascular care
Eiran Z Gorodeski1,2, Ardeshir Z Hashmi3
1Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio.
Insights
Cardiovascular clinicians should assess cognitive status in older adults due to conditions like heart failure and cerebrovascular disease. Early detection and management of cognitive impairment improve patient outcomes.
Area of Science:
- Geriatrics
- Cardiology
- Neurology
Background:
- Cardiovascular clinicians often overlook cognitive issues in older adults.
- Cognitive impairment in this population stems from cardiovascular diseases, neurodegenerative conditions, and other factors.
Purpose of the Study:
- Highlight the importance of cognitive assessment in older adults with cardiovascular disease.
- Provide a practical approach for assessing and managing cognitive impairment.
- Emphasize interdisciplinary collaboration between cardiovascular and geriatric specialists.
Main Methods:
- Literature review of evidence supporting cognitive assessment.
- Discussion of common causes of cognitive impairment in cardiovascular patients.
- Outline of practical assessment and management strategies.
Main Results:
- Cognitive impairment is prevalent in older adults with cardiovascular disease.
- Cardiovascular and cerebrovascular diseases are common contributors to cognitive decline.
- Collaboration enhances patient care and outcomes.
Conclusions:
- Cognitive status assessment is crucial for older adults with cardiovascular disease.
- Integrated care involving cardiovascular and geriatric specialists is beneficial.
- Proactive management of cognitive impairment improves quality of life.
Abstract:
Cardiovascular clinicians tend to pay little attention to issues related to cognition, and yet those caring for older adults will encounter a variety of conditions that may lead to cognitive impairment. Most commonly, these include cardiovascular disease-specific conditions such as cerebrovascular disease or heart failure, but may also include neurodegenerative conditions, mood disorders, medication side effects and polypharmacy, and nutritional deficiencies and metabolic derangements among others. This review presents evidence supporting the importance of assessing cognitive status in older adults with cardiovascular disease, and suggests a practical approach to assessment and management of cognitive impairment in this population when it is found. Special attention is paid to the importance of collaboration between cardiovascular and geriatric specialists, and the value it may bring to patients.
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