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[Cardiac function in elderly patients with dementia]

Y Kobayashi1, H Hanyu, T Sugiyama

  • 1Department of Geriatric Medicine, Tokyo Medical College.

Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
|August 1, 1995
PubMed
Summary

Cardiac function is often impaired in elderly dementia patients, particularly those with cerebrovascular dementia (CVD) and Binswanger-type dementia (BD). Echocardiography revealed reduced left ventricular function, indicating latent cardiac issues crucial for prognosis.

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Area of Science:

  • Cardiology
  • Neurology
  • Geriatrics

Context:

  • Cardiac function evaluation is vital for elderly patient prognosis.
  • Dementia pathology varies by type, necessitating specific diagnostic approaches.
  • Echocardiography is a key tool for assessing cardiac health.

Purpose:

  • To evaluate cardiac function in elderly patients with different types of dementia using echocardiography.
  • To compare cardiac function metrics between Binswanger-type dementia (BD), other cerebrovascular dementia (VD), senile dementia of Alzheimer-type (SDAT), and controls.

Summary:

  • Echocardiography assessed left ventricular function (LVDd, LVDs, FS, EF, CO) in 11 BD, 12 VD, 16 SDAT patients, and 15 controls.
  • Significantly larger LVDd and LVDs were observed in the BD group compared to controls and other dementia types.

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  • Reduced fractional shortening (FS) and ejection fraction (EF) were noted in BD and VD groups, indicating latent left ventricular hypofunction.

    • Impact:

    • Findings highlight latent left ventricular hypofunction in patients with cerebrovascular dementia, especially BD.
    • This cardiac dysfunction is important for predicting prognosis in dementia patients.
    • Results can inform targeted treatment and prevention strategies for dementia patients with cardiac comorbidities.