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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.
Abstract:
Cognitive impairment (CI) is an important comorbidity in patients with heart failure (HF). Its prevalence parallels the severity of heart failure, while it is an independent prognostic marker of adverse events. Various factors contribute to cognitive decline in HF, influencing self-care. There are no standardized screening methods for the diagnosis and management of these patients. The aim of the present manuscript is to provide an overview of the impact of cognitive impairment in HF, describe the utility of assessment tools and imaging methods for the evaluation of CI, and propose a comprehensive diagnostic and management approach.
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