Related Experiment Video

Updated: Jul 28, 2025

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
07:30

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions

Published on: April 23, 2021

3.1K

Cognitive Impairment in Patients With Cardiac Disease: Implications for Clinical Practice

Astrid C van Nieuwkerk1,2, Ronak Delewi1,2, Frank J Wolters3,4

  • 1Department of Cardiology, Amsterdam UMC, University of Amsterdam, the Netherlands (A.C.v.N., R.D.).

Stroke
|June 5, 2023
PubMed

Insights

Cognitive impairment affects one in three cardiology patients, often unrecognized, impacting self-care. Early detection and management are crucial for cardiovascular disease patients with cognitive decline.

Area of Science:

  • Cardiology
  • Neurology
  • Cognitive Science

Background:

  • Cognitive impairment is prevalent in cardiovascular disease (CVD) patients, affecting up to one-third.
  • Unrecognized cognitive impairment can negatively impact treatment adherence and self-management in cardiac patients.
  • Shared risk factors and cardiac dysfunction contribute to cognitive decline in CVD.

Purpose of the Study:

  • To review the prevalence and risk factors of cognitive impairment in common cardiac conditions.
  • To discuss the impact of guideline-based treatments on cognitive function.
  • To identify unmet needs and propose strategies for improved detection and management.

Main Methods:

  • Literature review of studies on cognitive impairment in heart failure, coronary artery disease, and aortic valve stenosis.
  • Analysis of shared risk factors between cardiovascular disease and cognitive decline.
  • Evaluation of the effects of cardiac interventions and treatments on cognition.

Main Results:

  • Cognitive impairment is frequently observed in patients with heart failure, coronary artery disease, and aortic valve stenosis.
  • Cardiac dysfunction and shared risk factors are key contributors to cognitive impairment in this population.
  • Guideline-based cardiac treatments may have variable effects on cognitive functioning.

Conclusions:

  • A significant proportion of cardiovascular disease patients experience cognitive impairment, often undiagnosed.
  • A systematic approach is recommended to enhance the recognition and management of cognitive impairment in cardiac care.
  • Further research is needed to address knowledge gaps regarding treatment effects on cognition.

Keywords:
aortic valve stenosiscardiovascular diseasecognitioncognitive dysfunctioncoronary artery diseaseheart failureprevalence

More Related Videos

Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients07:42

Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients

Published on: December 16, 2022

3.0K
Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure05:15

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

Published on: June 10, 2025

142

Related Concept Videos

Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
16
Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
16
Imbalances in Cardiac Output01:26

Imbalances in Cardiac Output

The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.4K
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
18
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
12
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
119