Coronary disease & ACS

Efficacy of computerised cognitive training in patients with coronary heart disease and mild cognitive impairment: a randomised controlled trial

HeartPublished randomised active-control trial

Primary result · Proportion with improved overall cognitive function (Basic Cognitive Ability Test (BCAT))Result — go to the resultOdds ratio 1.02 95% CI 0.51–2.05

Authors' conclusion

The efficacy of multidomain adaptive CCT in this population is not superior to that of traditional CCT. Although adaptive CCT has a higher compliance rate and can bring more significant changes in brain structure.

Study context

Population
Patients with coronary heart disease (CHD) and mild cognitive impairment (MCI)randomised
Participants
224 patients
Comparison
Multidomain adaptive (intervention) versus traditional non-adaptive (positive control) computerised cognitive training (CCT)
  • Adaptive CCTn = 112
  • Traditional CCTn = 112reference
Primary endpoint
Proportion with improved overall cognitive function (Basic Cognitive Ability Test (BCAT))
Follow-up
12 weeks
Methodological detailsintention-to-treat analysis, multiple imputation for missing data, eight Chinese medical centres, 1:1 randomisation
  • Intention-to-treat analysis
  • Multiple imputation for missing data
  • Eight Chinese medical centres
  • 1:1 randomisation

Primary result

As reported in the abstract

Odds ratio

1.02

95% CI 0.51–2.05

P = 0.947

Adaptive CCTvs traditional CCT
OR 1.02 (95% CI 0.51–2.05); P = 0.947

Secondary outcomes

OutcomeAdaptive CCTTraditional CCT
Cognitive abilities vs baseline · 12 weeksp=0.015p=0.016
Training compliance · better compliance in adaptive group · exploratory outcome
P = 0.009
Grey-matter volume in left supplementary motor area, right precuneus and right superior parietal lobule · significantly increased in adaptive group · exploratory outcome
P family-wise error=0.004

Cognitive abilities vs baseline · 12 weeks

Both groups showed improved cognitive abilities at 12 weeks versus baseline

Health-related quality of life (EuroQol-5 Dimensions Questionnaire-3-Level) · 12 weeks

Adaptive CCT improved health-related quality of life compared with traditional CCT

Anxiety and depression symptoms

Both interventions showed positive trends in improving anxiety and depression symptoms

Original publication

Efficacy of computerised cognitive training in patients with coronary heart disease and mild cognitive impairment: a randomised controlled trial. Heart. Published 4 May 2026. doi:10.1136/heartjnl-2025-327472

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.