Cognitive impairment in heart failure: clinical implications, tools of assessment, and therapeutic considerations

Sotiria Liori1, Angelos Arfaras-Melainis2, Vasiliki Bistola2

  • 1Heart Failure Unit and University Clinic of Emergency Medicine, Attikon University Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece. sotiria.liori@gmail.com.

Insights

Cognitive impairment (CI) is common in heart failure (HF) and affects prognosis. This review covers CI assessment tools and imaging, proposing a diagnostic and management strategy for HF patients.

Area of Science:

  • Cardiology
  • Neurology
  • Geriatrics

Background:

  • Cognitive impairment (CI) is a significant comorbidity in heart failure (HF).
  • CI prevalence correlates with HF severity and independently predicts adverse outcomes.
  • Factors contributing to cognitive decline in HF impact patient self-care.

Purpose of the Study:

  • To provide an overview of CI's impact in HF.
  • To describe assessment tools and imaging for CI evaluation in HF.
  • To propose a comprehensive diagnostic and management approach for CI in HF.

Main Methods:

  • Literature review on CI in HF.
  • Analysis of existing assessment tools for CI.
  • Review of neuroimaging techniques for CI evaluation.

Main Results:

  • CI is prevalent and prognostic in HF patients.
  • No standardized screening methods currently exist for CI in HF.
  • Various assessment tools and imaging methods can aid CI evaluation.

Conclusions:

  • A comprehensive approach is needed for CI diagnosis and management in HF.
  • Early identification and intervention for CI can improve HF patient outcomes.
  • Further research into standardized screening and management is warranted.

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