In a cohort study, nearly 15% of adults with incident heart failure (HF) had cognitive impairment (CI), suggest that the majority of cognitive decline occurs after HF diagnosis. The REasons for Geographic and Racial Differences in Stroke (REGARDS) study included 436 participants (mean age 70.3 years, 47% female, 39% black). Researchers compared the prevalence of CI among those with incident HF to the prevalence of CI among an age, sex, and race-matched cohort without HF. They found:
- 14.9% of adults with incident HF had CI.
- Age, race, gender, education, and anticoagulation use were associated with CI.
- The prevalence of CI among an age-sex-race match cohort without HF was 13.4%.
- The majority of CI in HF occurred after HF diagnosis.
Sterling MR, Jannat-Khah D, Bryan J, et al. The prevalence of cognitive impairment among adults with incident heart failure: The REasons for Geographic and Racial Differences in Stroke (REGARDS) Study. [Published online ahead of print December 22, 2018]. J Card Fail. doi:10.1016/j.cardfail.2018.12.006.
This Week's Must Reads
Clinician Beliefs on Statins & Patient Adherence, Am J Cardiol; ePub 2019 Jan 4; Lowenstern, et al
Adherence to Statin Therapy in US Adults, J Am Heart Assoc; ePub 2019 Jan 8; Colantonio, et al
Efficacy of Statins for Primary Prevention of CVD, Am Heart J; ePub 2019 Jan 10; Yebyo, et al
Prevalence of FH in Patients with Premature MI, Clin Cardiol; ePub 2019 Jan 13; Cui, Li, et al
Lp(a) Levels & CVD Risk in Patients with Diabetes, Atherosclerosis; ePub 2018 Dec 29; Saeed, et al
Must Reads in Heart Failure
Adverse HF Outcomes in Persons Living with HIV, Am Heart J; ePub 2019 Jan 11; Alvi, Afshar, et al
Anticoagulation in Patients with AF and HF, Clin Cardiol; ePub 2018 Dec 23; Contreras, et al
Cognitive Impairment in Adults with Incident HF, J Card Fail; ePub 2018 Dec 22; Sterling, et al
Mortality in CHD-Related HF in Children, Am Heart J; ePub 2018 Dec 5; Burstein, et al
Mortality From HF and Dementia in the US, J Card Fail; ePub 2018 Nov 21; Vuong, et al