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Cognitive Impairment in Heart Failure: A Heart Failure Society of America Scientific Statement.

Publication ,  Journal Article
Goyal, P; Didomenico, RJ; Pressler, SJ; Ibeh, C; White-Williams, C; Allen, LA; Gorodeski, EZ; HFSA Scientific Statement Committee Members,
Published in: J Card Fail
March 2024

Cognitive impairment is common among adults with heart failure (HF), as both diseases are strongly related to advancing age and multimorbidity (including both cardiovascular and noncardiovascular conditions). Moreover, HF itself can contribute to alterations in the brain. Cognition is critical for a myriad of self-care activities that are necessary to manage HF, and it also has a major impact on prognosis; consequently, cognitive impairment has important implications for self-care, medication management, function and independence, and life expectancy. Attuned clinicians caring for patients with HF can identify clinical clues present at medical encounters that suggest cognitive impairment. When present, screening tests such as the Mini-Cog, and consideration of referral for comprehensive neurocognitive testing may be indicated. Management of cognitive impairment should focus on treatment of underlying causes of and contributors to cognitive impairment, medication management/optimization, and accommodation of deficiencies in self-care. Given its implications on care, it is important to integrate cognitive impairment into clinical decision making. Although gaps in knowledge and challenges to implementation exist, this scientific statement is intended to guide clinicians in caring for and meeting the needs of an increasingly complex and growing subpopulation of patients with HF.

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Published In

J Card Fail

DOI

EISSN

1532-8414

Publication Date

March 2024

Volume

30

Issue

3

Start / End Page

488 / 504

Location

United States

Related Subject Headings

  • Self Care
  • Risk Factors
  • Humans
  • Heart Failure
  • Cognitive Dysfunction
  • Cognition
  • Cardiovascular System & Hematology
  • Adult
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
 

Citation

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Goyal, P., Didomenico, R. J., Pressler, S. J., Ibeh, C., White-Williams, C., Allen, L. A., … HFSA Scientific Statement Committee Members, . (2024). Cognitive Impairment in Heart Failure: A Heart Failure Society of America Scientific Statement. J Card Fail, 30(3), 488–504. https://doi.org/10.1016/j.cardfail.2024.01.003
Goyal, Parag, Robert J. Didomenico, Susan J. Pressler, Chinwe Ibeh, Connie White-Williams, Larry A. Allen, Eiran Z. Gorodeski, and Eiran Z. HFSA Scientific Statement Committee Members. “Cognitive Impairment in Heart Failure: A Heart Failure Society of America Scientific Statement.J Card Fail 30, no. 3 (March 2024): 488–504. https://doi.org/10.1016/j.cardfail.2024.01.003.
Goyal P, Didomenico RJ, Pressler SJ, Ibeh C, White-Williams C, Allen LA, et al. Cognitive Impairment in Heart Failure: A Heart Failure Society of America Scientific Statement. J Card Fail. 2024 Mar;30(3):488–504.
Goyal, Parag, et al. “Cognitive Impairment in Heart Failure: A Heart Failure Society of America Scientific Statement.J Card Fail, vol. 30, no. 3, Mar. 2024, pp. 488–504. Pubmed, doi:10.1016/j.cardfail.2024.01.003.
Goyal P, Didomenico RJ, Pressler SJ, Ibeh C, White-Williams C, Allen LA, Gorodeski EZ, HFSA Scientific Statement Committee Members. Cognitive Impairment in Heart Failure: A Heart Failure Society of America Scientific Statement. J Card Fail. 2024 Mar;30(3):488–504.
Journal cover image

Published In

J Card Fail

DOI

EISSN

1532-8414

Publication Date

March 2024

Volume

30

Issue

3

Start / End Page

488 / 504

Location

United States

Related Subject Headings

  • Self Care
  • Risk Factors
  • Humans
  • Heart Failure
  • Cognitive Dysfunction
  • Cognition
  • Cardiovascular System & Hematology
  • Adult
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology