Performances on the Montreal Cognitive Assessment Along the Cardiovascular Disease Continuum.
Cardiovascular disorders
Cognition
Cognitive impairment
Memory
Screening tests
Journal
Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists
ISSN: 1873-5843
Titre abrégé: Arch Clin Neuropsychol
Pays: United States
ID NLM: 9004255
Informations de publication
Date de publication:
17 Jan 2022
17 Jan 2022
Historique:
accepted:
13
04
2021
pubmed:
8
5
2021
medline:
20
1
2022
entrez:
7
5
2021
Statut:
ppublish
Résumé
Cardiovascular diseases involve a continuum starting with risk factors, which can progress to coronary heart disease and eventually, to heart failure. Cognitive impairment (CI) is observed as early as cardiovascular risk factors, and in up to 50% of patients with heart failure. Because CI in cardiovascular disease is linked to poorer clinical outcomes, early detection is essential. The Montreal Cognitive Assessment (MoCA) is a screening tool widely used in clinical setting. To date, little is known about MoCA scores along the cardiovascular disease continuum. This study compared performances of different cardiovascular disease profiles on the MoCA and its subscores. Eighty participants (>50 years) from two studies conducted at the Montreal Heart Institute were separated into four groups: low cardiovascular risk factors (<2), high cardiovascular risk factors (>2), coronary heart disease, and stable heart failure. ANCOVAs were performed on the total score and on subscores, with sex, age, and education as covariates. Group differences were observed on the MoCA total score (heart failure < low cardiovascular risk), verbal fluency (heart failure < low cardiovascular risk), memory (coronary heart disease < low cardiovascular risk), and orientation (coronary heart disease < low and high cardiovascular risk) subscores. Results suggest that the MoCA, particularly verbal fluency and memory subscores, can detect cognitive changes in later stages of the cardiovascular disease continuum, such as heart failure. Detecting cognitive changes earlier on the cardiovascular disease continuum may require more in depth neuropsychological assessments.
Identifiants
pubmed: 33960374
pii: 6271277
doi: 10.1093/arclin/acab029
pmc: PMC8763113
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
117-124Subventions
Organisme : The ÉPIC Foundation
Organisme : Montreal Heart Institute
Organisme : Mirella and Lino Saputo Research Chair
Organisme : CIHR
ID : #120304
Pays : Canada
Informations de copyright
© The Author(s) 2021. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
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