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Published on: February 4, 2021
Aortic Valve Calcification Is Associated with Future Cognitive Impairment.
Hojune E Chung1,2, Jessica Chen2, Dhairyasheel Ghosalkar2
1Department of Internal Medicine (Section of Cardiovascular Medicine), Providence VA Medical Center, Providence, RI, USA.
Aortic valve calcification (AVC) identified on lung cancer screening CT scans is linked to a higher risk of cognitive impairment (CI) in veterans. This finding highlights a potential connection between cardiovascular health and brain function.
Area of Science:
- Cardiology
- Neurology
- Radiology
Background:
- Atherosclerosis is linked to dementia, but the relationship between aortic valve calcification (AVC) and cognitive impairment (CI) needs further investigation.
- Few longitudinal studies have explored the association between AVC and CI.
Purpose of the Study:
- To determine if AVC, quantified from lung cancer screening CT (LCSCT), is associated with CI in a cohort of U.S. veterans at moderate-to-high risk for atherosclerosis.
Main Methods:
- Retrospective analysis of 1401 U.S. veterans (mean age 65 years, 97% male) who underwent LCSCT.
- AVC was quantified from LCSCT scans.
- New diagnosis of CI was identified via objective testing or ICD coding over a 5-year period.
Main Results:
- Over 5 years, 8% of patients were diagnosed with CI.
- AVC was significantly associated with new CI diagnoses across multiple adjusted models, including those accounting for age, cardiovascular risk factors, and cerebrovascular events.
- The association remained significant in sensitivity and subgroup analyses, even after excluding severe AVC or including education level.
Conclusions:
- This study is the first to demonstrate an association between quantified AVC from LCSCT and new CI diagnoses.
- Findings suggest that AVC may be an indicator of cognitive decline risk in individuals undergoing lung cancer screening.
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