Heart failure & cardiomyopathies

Internal Carotid Artery Blood Flow and Pulsatility Index in Cognitively Impaired People with Chronic Heart Failure

ESC Heart FailPublished Post-hoc analysis of the observational, prospective Cognition.Matters-HF study

Authors' conclusion

ICA-BF and ICA-PI, measured in broadly available extracranial sonography, independently related to measures of functional and structural brain changes in people with chronic HF, respectively.

Study context

Population
Chronic heart failure (HF) patients without AF or carotid artery stenosis (aged 63 ± 10 years; 19% women)
Participants
107 patients
Primary endpoint
Association of internal carotid artery (ICA) blood flow (BF) and pulsatility index (PI) with chronic HF parameters, brain morphologic measures and cognitive impairment
Methodological detailscross-sectional
  • Cross-sectional

Primary result

As reported in the abstract

ICA-BF, median (quartiles), mL/min
630 (570, 700)
ICA-PI, median (quartiles)
1.05 (0.96. 1.23)
Higher ICA-PI associated with increased white matter hyperintensity volume beyond ageing
r = 0.25; P = 0.011
ICA-BF and white matter hyperintensity volume (not associated)
r = 0.08; P = 0.409
ICA-BF correlated with age-adjusted executive function T-scores (ICA-PI did not)
r = 0.38; P < 0.001
ICA-BF correlated with working memory
r = 0.32; P < 0.001
ICA-BF correlated with visual/verbal fluency
r = 0.32; P < 0.001
Multivariate linear model of executive function: only ICA-BF remained significant (not HF or MRI parameters)
T = 3.79; P < 0.001

Original publication

Internal Carotid Artery Blood Flow and Pulsatility Index in Cognitively Impaired People with Chronic Heart Failure. ESC Heart Fail. Published 4 July 2023. doi:10.1002/ehf2.14462

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