Hashemi Mohammad, Jervekani Zahra Teimouri, Mortazavi Shahrzad, Maracy Mohammad Reza, Barekatain Majid
Cardiovascular Department, Interventional Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Cardiovascular Department, Heart Failure Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Arq Neuropsiquiatr. 2018 Apr;76(4):225-230. doi: 10.1590/0004-282x20180026.
We aimed to determine whether there is an association between cognition and the results of echocardiography and angiography, based on neuropsychological assessments.
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.
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).
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.
我们旨在基于神经心理学评估确定认知与超声心动图和血管造影结果之间是否存在关联。
我们评估了85例近期接受冠状动脉造影的患者的认知情况。我们计算了冠状动脉疾病指数的Gensini评分。我们还进行了超声心动图检查以寻找心脏功能指标。
较低的左心室射血分数与视觉空间、执行功能、处理速度/注意力和言语记忆能力得分较低相关（p≤0.05）。较高的Gensini评分和左心房大小与较低的执行功能和处理速度/注意力相关（p≤0.05）。在认知状态受损的患者组中，较高的Gensini评分与处理速度/注意力降低相关（p = 0.01），且e'指数与较低的执行功能能力相关（p = 0.05）。
处理速度/注意力和执行功能降低可能与心脏功能障碍和冠状动脉疾病相关。对于患有冠状动脉疾病或舒张功能障碍的老年患者，可考虑使用颜色轨迹测试进行认知问题的简单筛查。
