scholarly journals Cognitive Impairment in Heart Failure: Issues of Measurement and Etiology

2002 ◽  
Vol 11 (6) ◽  
pp. 520-528 ◽  
Author(s):  
Barbara Riegel ◽  
Jill A. Bennett ◽  
Andra Davis ◽  
Beverly Carlson ◽  
John Montague ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cognitive Impairment ◽  
Fluid Overload ◽  
Verbal Learning ◽  
Screening Method ◽  
Serum Osmolality ◽  
Screening Tests ◽  
Delayed Recall ◽  
Correlational Design ◽  
Patients With Heart Failure

• Background Clinicians need easy methods of screening for cognitive impairment in patients with heart failure. If correlates of cognitive impairment could be identified, more patients with early cognitive impairment could be treated before the problem interfered with adherence to treatment. • Objectives To describe cognitive impairment in patients with heart failure, to explore the usefulness of 4 measures of cognitive impairment, and to assess correlates of cognitive impairment. • Methods A descriptive, correlational design was used. Four screening measures of cognition were assessed in 42 patients with heart failure: Commands subtest and Complex Ideational Material subtest of the Boston Diagnostic Aphasia Examination, Mini-Mental State Examination, and Draw-a-Clock Test. Cognitive impairment was defined as performance less than the standardized (T-score) cutoff point on at least 1 of the 4 measures. Possible correlates of cognitive impairment included age, education, hypotension, fluid overload (serum osmolality <269 mOsm/kg), and dehydration (serum osmolality ≥295 mOsm/kg). • Results Cognitive impairment was detected in 12 (28.6%) of 42 participants. The 4 screening tests varied in effectiveness, but the Draw-a-Clock Test indicated impairment in 50% of the 12 impaired patients. A summed standardized score for the 4 measures was not significantly associated with age, education, hypotension, fluid overload, or dehydration in this sample. • Conclusions Cognitive impairment is relatively common in patients with heart failure. The Draw-a-Clock Test was most useful in detecting cognitive impairment, although it cannot be used to detect problems with verbal learning or delayed recall and should not be used as the sole screening method for patients with heart failure. Correlates of cognitive impairment require further study.

scholarly journals A score based on screening tests to differentiate mild cognitive impairment from subjective memory complaints

2013 ◽  
Vol 5 (3) ◽  
pp. 16 ◽  
Author(s):  
Fábio Henrique De Gobbi Porto ◽  
Lívia Spíndola ◽  
Maira Okada De Oliveira ◽  
Patrícia Helena Figuerêdo Do Vale ◽  
Marco Orsini ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Characteristic Curve ◽  
Neuropsychological Testing ◽  
Area Under The Curve ◽  
Screening Tests ◽  
Elderly Subjects ◽  
Subjective Memory ◽  
Delayed Recall ◽  
Memory Complaints

It is not easy to differentiate patients with mild cognitive impairment (MCI) from subjective memory complainers (SMC). Assessments with screening cognitive tools are essential, particularly in primary care where most patients are seen. The objective of this study was to evaluate the diagnostic accuracy of screening cognitive tests and to propose a score derived from screening tests. Elderly subjects with memory complaints were evaluated using the Mini Mental State Examination (MMSE) and the Brief Cognitive Battery (BCB). We added two delayed recalls in the MMSE (a delayed recall and a late-delayed recall, LDR), and also a phonemic fluency test of letter P fluency (LPF). A score was created based on these tests. The diagnoses were made on the basis of clinical consensus and neuropsychological testing. Receiver operating characteristic curve analyses were used to determine area under the curve (AUC), the sensitivity and specificity for each test separately and for the final proposed score. MMSE, LDR, LPF and delayed recall of BCB scores reach statistically significant differences between groups (P=0.000, 0.03, 0.001 and 0.01, respectively). Sensitivity, specificity and AUC were MMSE: 64%, 79% and 0.75 (cut off <29); LDR: 56%, 62% and 0.62 (cut off <3); LPF: 71%, 71% and 0.71 (cut off <14); delayed recall of BCB: 56%, 82% and 0.68 (cut off <9). The proposed score reached a sensitivity of 88% and 76% and specificity of 62% and 75% for cut off over 1 and over 2, respectively. AUC were 0.81. In conclusion, a score created from screening tests is capable of discriminating MCI from SMC with moderate to good accurancy.

Impact of diabetes on cognitive impairment and disability in elderly hospitalized patients with heart failure

2013 ◽  
Vol 13 (4) ◽  
pp. 1035-1042 ◽  
Author(s):  
Giorgio Basile ◽  
Andrea Crucitti ◽  
Maria D Cucinotta ◽  
Paolo Figliomeni ◽  
Antonio Lacquaniti ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cognitive Impairment ◽  
Hospitalized Patients ◽  
Patients With Heart Failure ◽  
Elderly Hospitalized Patients

Hypotension and cognitive impairment: Selective association in patients with heart failure

Neurology ◽  
2002 ◽  
Vol 59 (4) ◽  
pp. 651-651
Author(s):  
T. Sabatini ◽  
P. Barbisoni ◽  
R. Rozzini ◽  
M. Trabucchi ◽  
G. Zuccala
Keyword(s):  
Heart Failure ◽  
Cognitive Impairment ◽  
Patients With Heart Failure

scholarly journals Cognitive impairment measured by Mini-Cog provides additive prognostic information in elderly patients with heart failure

2020 ◽  
Vol 76 (4) ◽  
pp. 350-356
Author(s):  
Hiroshi Saito ◽  
Masashi Yamashita ◽  
Yoshiko Endo ◽  
Akira Mizukami ◽  
Kenji Yoshioka ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cognitive Impairment ◽  
Elderly Patients ◽  
Prognostic Information ◽  
Patients With Heart Failure

Ultrafiltration for management of fluid overload in patients with heart failure

2019 ◽  
Vol 44 (2) ◽  
pp. 129-139
Author(s):  
Rebecca C. Gologorsky ◽  
Shuvo Roy
Keyword(s):  
Heart Failure ◽  
Fluid Overload ◽  
Patients With Heart Failure

The effects of cognitive impairment on mortality among hospitalized patients with heart failure

2003 ◽  
Vol 115 (2) ◽  
pp. 97-103 ◽  
Author(s):  
Giuseppe Zuccalà ◽  
Claudio Pedone ◽  
Matteo Cesari ◽  
Graziano Onder ◽  
Marco Pahor ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cognitive Impairment ◽  
Hospitalized Patients ◽  
Patients With Heart Failure

Test of a Dignity Model in patients with heart failure

2016 ◽  
Vol 25 (4) ◽  
pp. 532-546 ◽  
Author(s):  
Hossein Bagheri ◽  
Farideh Yaghmaei ◽  
Tahereh Ashktorab ◽  
Farid Zayeri
Keyword(s):  
Heart Failure ◽  
Medical Sciences ◽  
Research Committee ◽  
Factors Affecting ◽  
Correlational Design ◽  
Patients With Heart Failure ◽  
Design Activities ◽  
Research Questions ◽  
Fit Index

Background: Identifying, maintenance, and promotion of dignity in different patients of various cultures is an ethical responsibility of healthcare workers. Research questions: This study was conducted to investigate factors related to dignity in patients with heart failure and test the validity of Dignity Model. Design: The study had a descriptive-correlational design, and data collection was carried out by means of four specific questionnaires. Participants and context: A total of 130 in-patients from cardiac wards in hospitals affiliated with Tehran and Shahid Beheshti University of Medical Sciences participated. Ethical consideration: This study was approved by the Research Committee of Shahid Beheshti University of Medical Sciences. Findings: Significant correlation showed the following: between illness related worries with dignity conserving repertoire score, between illness related worries with social dignity, between illness related worries with dignity conserving repertoire score, and between social dignity with dignity score. Goodness Fit Index and Comparative Fit Index were calculated greater than 0.9. Discussion: This study affirms the importance of careful evaluation of individual patients to determine their needs related to dignity. Conclusion: According to the results, the necessity of using appropriate tools to assess various aspects of patients’ dignity by clinical healthcare staff and design activities with particular focus on the main factors affecting dignity such as illness related worries and social dignity is recommended. Attention to this issue in everyday clinical practice can facilitate health professionals/nurses to potentially improve their patients’ dignity, develop quality of care and treatment, and improve patients’ satisfaction.

scholarly journals GW28-e0774 Difference in Fluid overload in symptomatic and asymptomatic patients with heart failure

2017 ◽  
Vol 70 (16) ◽  
pp. C147
Author(s):  
Thach Nguyen ◽  
Luong Thanh Phuoc ◽  
Tran Ngoc Minh Chau ◽  
Khanh Duong ◽  
Nguyen Khanh Duy ◽  
...  
Keyword(s):  
Heart Failure ◽  
Fluid Overload ◽  
Asymptomatic Patients ◽  
Patients With Heart Failure

scholarly journals Contemporary approaches to correction of cognitive impairment in endogenous depression

2020 ◽  
pp. 82-93
Author(s):  
I. V. Oleichik ◽  
T. I. Shishkovskaia ◽  
P. A. Baranov
Keyword(s):  
Cognitive Impairment ◽  
Verbal Learning ◽  
Endogenous Depression ◽  
Pharmacological Agents ◽  
Delayed Recall ◽  
Basic Symptoms ◽  
Peak Intensity ◽  
Initial Stage ◽  
Subjective Importance ◽  
Reaction Speed

Cognitive dysfunction is one of the basic symptoms of endogenous depression, gaining much of the researchers’ interest lately. It is observed at the initial stage, at the peak intensity of depressive symptoms and even after their reduction, which leads to the persistence of residual depressive state. Cognitive impairment during the depressive episode can be detected by objective methods (clinical and neuropsychological), and their subjective importance is being revealed by standardized questionnaires. Depressed patients show lower results in executive functions, working memory, reaction speed, verbal learning, immediate and delayed recall subtests of neuropsychological batteries. There are few pharmacological agents (mostly antidepressants) with well-proven procognitive activity in depression. Besides, some new pharmacological and non-pharmacological approaches for treatment of cognitive impairment in depression have appeared lately and are described in literature as promising.

Sign in / Sign up

Export Citation Format

Share Document