Detecting and Evaluating Cognitive Impairment in Heart Failure Patients

|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|

Cognitive Impairment in Heart Failure

  • CI is the most common comorbidity of HF (25-80%)
  • Most patients with HF experience MCI
  • 25% may experience moderate-severe impairment and dementia
  • HF severity is linked to CI severity

(Dadiotis, E., et al., 2012)

CI puts patients at risk for:

  • Failure to recognize early symptoms of HF decline, delaying timely medical attention
    (Vinson et al 1990; Bennett et al 1997; Chin and Goldman 1997; Cline et al 1999; Ekman et al 2001)
  • Non-adherence to recommended therapy and dietary guidelines
  • Medication mismanagement
  • Increased risk of re-hospitalization
  • Progressive physical disability
  • Higher medical costs
  • Higher mortality

(Zuccala et al 2001b, 2003; Hutt et al 2003; Rozzini and Sabatinin 2004)

What physiological processes may cause cognitive impairment in HF?

Please select all that apply.

  • Cerebral hypoperfusion
    • Correct!
    • Cerebral hypoperfusion is due to alteration in cardiac output and cerebrovascular reactivity
    • Is associated grey matter loss
  • Uncontrolled anxiety disorder
    • Incorrect
  • Risk factors of hypoperfusion
    • Correct!
    • Risk factors include low systolic blood pressure and obesity
  • Arterial hypotension
    • Correct!
  • Consuming high salt foods
    • Incorrect
  • Production of proinflamatory cytokines
    • Correct
  • Hypertension
    • Incorrect
  • Depressed mood
    • Correct

(Leto,L., Feola., 2014)

Green answers are correct.
Red answers are not correct.