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Published on: July 24, 2019
Trajectory of Cardiogenic Dementia: A New Perspective
Nawaf AlRawili1, Hayder M Al-Kuraishy2, Ali I Al-Gareeb3
1Department of Internal Medicine, College of Medicine, Northern Border University, Arar, Saudi Arabia.
Insights
The heart and brain are linked via the heart-brain axis. Heart disease can impair cognitive function, increasing dementia risk, with mechanisms still under investigation.
Area of Science:
- Cardiology
- Neurology
- Neuroscience
Background:
- The heart-brain axis describes the intricate connection between the heart and brain.
- Cardiac function and cerebral blood flow are vital for brain metabolism and function.
- Deterioration in heart health can negatively impact cognitive abilities and elevate dementia risk.
Purpose of the Study:
- To explore the potential mechanisms underlying cardiogenic dementia.
- To review the link between cardiac diseases and cognitive impairment.
Main Methods:
- Literature review of studies on heart disease and cognitive function.
- Analysis of existing research on the heart-brain axis and dementia pathogenesis.
Main Results:
- Cognitive impairment affects 29% of heart failure patients.
- Coronary artery disease (CAD) is linked to cognitive decline.
- Reduced cardiac function and cerebral blood flow increase dementia risk.
Conclusions:
- Cardiac diseases like heart failure, myocardial infarction, and atrial fibrillation contribute to cognitive deterioration.
- Mechanisms linking cardiac dysfunction to dementia require further elucidation.
- Understanding these mechanisms is crucial for preventing and treating cardiogenic dementia.
Abstract:
The functions of the heart and brain are closely linked and essential to support human life by the heart-brain axis, which is a complex interconnection between the heart and brain. Also, cardiac function and cerebral blood flow regulate the brain's metabolism and function. Therefore, deterioration of cardiac function may affect cognitive function and may increase the risk of dementia. Cardiogenic dementia is defined as a cognitive deterioration due to heart diseases such as heart failure, myocardial infarction, and atrial fibrillation. The prevalence of cognitive impairment in patients with heart failure was 29%. In addition, coronary artery disease (CAD) is also associated with the development of cognitive impairment. CAD and reduction of myocardial contractility reduced cerebral blood flow and increased the risk of dementia in CAD patients. Furthermore, myocardial infarction and subsequent systemic haemodynamic instability promote the development and progression of cardiogenic dementia. These findings indicated that many cardiac diseases are implicated in the development and progression of cognitive impairment. Nevertheless, the underlying mechanism for the development of cardiogenic dementia was not fully elucidated. Consequently, this review aims to discuss the potential mechanisms involved in the pathogenesis of cardiogenic dementia.
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