Heart failure & cardiomyopathies

Cerebral Hypometabolism Mediates the Effect of Stroke Volume on Cognitive Impairment in Heart Failure Patients

ESC Heart FailPublished Cross-sectional study

Authors' conclusion

HF patients suffered cerebral metabolic and structural alterations in regions associated with cognition.

Study context

Population
Patients with heart failure (HF) caused by ischaemic heart disease and healthy volunteers
Participants
42 vs 32
Exposure
HF patients vs healthy controls
  • HFn = 42
  • Normal controlsn = 32reference
Outcome
Cerebral hypometabolism, cognition and cardiac stroke volume
Methodological detailsage- and sex-matched controls, simultaneous positron emission tomography (PET)/magnetic resonance (MR), mediation analysis
  • Age- and sex-matched controls
  • Simultaneous PET/MR
  • Mediation analysis

Main finding

As reported in the abstract

HF: regional hypometabolism (bilateral calcarine, caudate, thalamus, hippocampus, precuneus, posterior cingulate, lingual and olfactory cortex) and grey matter volume (GMV) reduction in bilateral thalamus and hippocampus
P < 0.05
Standardized uptake value ratio (SUVR) of hypometabolic regions correlated with Montreal Cognitive Assessment (MoCA) score
r = 0.55, P = 0.038
SUVR of hypometabolic regions correlated with cardiac stroke volume
r = 0.49, P = 0.002
Mediation effect of cerebral hypometabolism on stroke volume–MoCA relationship
33.2%

Observational data: associations, not effects.

Original publication

Cerebral Hypometabolism Mediates the Effect of Stroke Volume on Cognitive Impairment in Heart Failure Patients. ESC Heart Fail. Published 30 November 2023. doi:10.1002/ehf2.14599

Composed by AI from the published abstract and checked against it. How Briefs are made →

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