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Titolo:
The mind of a failing heart: a systematic review of the association between congestive heart failure and cognitive functioning
Autore:
Almeida, OP; Flicker, L;
Indirizzi:
Univ Western Australia, Dept Psychiat & Behav Sci, Perth, WA 6009, Australia Univ Western Australia Perth WA Australia 6009 Perth, WA 6009, Australia Univ Western Australia, Dept Med, Perth, WA 6009, Australia Univ Western Australia Perth WA Australia 6009 Perth, WA 6009, Australia
Titolo Testata:
INTERNAL MEDICINE JOURNAL
fascicolo: 5, volume: 31, anno: 2001,
pagine: 290 - 295
SICI:
1444-0903(200107)31:5<290:TMOAFH>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
LEFT-VENTRICULAR DYSFUNCTION; CARDIAC TRANSPLANTATION; BLOOD-PRESSURE; OLDER PATIENTS; IMPAIRMENT; POPULATION; DEPRESSION;
Keywords:
attention; cognitive disorder; congestive heart failure; heart disease; memory; neuropsychology; quality of life;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Almeida, OP Royal Perth Hosp, UWA Dept Psychiat, Mental Hlth Unit Elderly,Ainslie House,level 6,GPO Box X2213, Perth, WA 6847, Australia Royal PerthHosp Ainslie House,level 6,GPO Box X2213 Perth WA Australia 6847
Citazione:
O.P. Almeida e L. Flicker, "The mind of a failing heart: a systematic review of the association between congestive heart failure and cognitive functioning", INTERN M J, 31(5), 2001, pp. 290-295

Abstract

Background: Congestive heart failure (CHF) is a frequent complication of most diseases of the heart. CHF is associated with impairment in several aspects of the quality of life of patients, including mood and cognitive performance. Early reports indicated that patients with CHF display deficits in memory and other intellectual abilities, although the clinical relevance ofthese findings remains unclear. Aim: We reviewed systematically the medical literature with the aim of clarifying the association between CHF and cognitive functioning. Methods: Systematic review of Medline database for studies published between 1966 and June 2000 using the following key words: congestive heart failure, cognition, cognitive disorders, memory, memory disorders, short-term memory, attention. Results: Thirteen studies reported cognitive information on patients with CHF, but only five met inclusion criteria for systematic review. Three reports described attention (total number of subjects = 369 patients and 882 controls) and memory scores (total number of subjects = 247 patients and 748 controls), two studies reported measures of general cognitive functioning (total number of subjects = 203 patients and 704 controls) and one reported the rate of cognitive impairment (total number of subjects = 88 patients and 987 controls). Pooled analysis indicated that CHF is associated with a pattern of generalized cognitive impairment that includes memory and attention deficits. Conclusions: The results of the present review highlight the enormous paucity of systematic information about the association between CHF and cognitive functioning, with only five studies reporting data suitable for analysis. We expect that new case-control and cohort studies will be designed to confirm the presence of cognitive impairment in patients with CHF and trust that this information will improve the management of CHF patients and our understanding of the mechanisms associated with cognitive decline in later life.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 01:18:49