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Association Between Cognitive Function and Parameters of Echocardiography and Coronary Artery Angiography; [Associacao Entre a Funcao Cognitiva E Parametros De Ecocardiografia E Angiografia Da Arteria Coronaria] Publisher Pubmed



Hashemi M1 ; Jervekani ZT2 ; Mortazavi S3 ; Maracy MR4 ; Barekatain M5
Authors
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Authors Affiliations
  1. 1. Isfahan University of Medical Sciences, Interventional Research Center, Cardiovascular Department, Isfahan, Iran
  2. 2. Isfahan University of Medical Sciences, Heart Failure Research Center, Cardiovascular Department, Isfahan, Iran
  3. 3. Isfahan University of Medical Sciences, Psychiatry Department, Isfahan, Iran
  4. 4. Isfahan University of Medical Sciences, Department of Epidemiology and Biostatics, Isfahan, Iran
  5. 5. Isfahan University of Medical Sciences, Psychosomatic Research Center, Psychiatry Department, Isfahan, Iran

Source: Arquivos de Neuro-Psiquiatria Published:2018


Abstract

We aimed to determine whether there is an association between cognition and the results of echocardiography and angiography, based on neuropsychological assessments. Methods: We assessed the cognition of 85 patients who had recently undergone coronary artery angiography. We calculated the Gensini score for the coronary artery disease index. We also performed echocardiography to find indices of cardiac functioning. Results: The lower left ventricular ejection fraction correlated with lower scores on visuospatial, executive function, processing speed/attention and verbal memory capacities (p ≤ 0.05). A higher Gensini score and left atrial size correlated with lower executive function and processing speed/ attention (p ≤ 0.05). In the group of patients with an impaired cognitive state, higher Gensini scores correlated with decreased processing speed/ attention (p = 0.01) and the e’ index was associated with lower capacity of executive function (p = 0.05). Conclusion: Decreased processing speed/ attention and executive function may correlate with cardiac dysfunction and coronary artery disease. The Color Trail Test may be considered for simple screening for cognitive problems in elderly patients with coronary artery disease or diastolic dysfunction. © 2018, Associacao Arquivos de Neuro-Psiquiatria. All rights reserved.