Heart and brain interactions in heart failure: cognition, depression, anxiety, and related outcomes
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2021 |
| Outros Autores: | , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10451/49856 |
Resumo: | © 2021 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espa ̃na, S.L.U. This is an open access article under the CCBY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
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Heart and brain interactions in heart failure: cognition, depression, anxiety, and related outcomesInterações entre o coração e o cérebro na insuficiência cardíaca: cognição, depressão, ansiedade e outcomes relacionadosAnxietyCognitive functionDepressionHeart failurePrognosisQuality of life© 2021 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espa ̃na, S.L.U. This is an open access article under the CCBY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)Background: Cognitive impairment, anxiety and depression are common in heart failure (HF) patients and its evolution is not fully understood. Objectives: To assess the cognitive status of HF patients over time, its relation to anxiety and depression, and its prognostic impact. Methods: Prospective, longitudinal, single center study including patients enrolled in a structured program for follow-up after hospital admission for HF decompensation. Cognitive function, anxiety/depression state, HF-related quality of life (QoL) were assessed before discharge and during follow-up (between 6th and 12th month) using Montreal Cognitive Assessment (MoCA), Hospital Anxiety and Depression Scale (HADS) and Kansas City Cardiomyopathy Questionnaire, respectively. HF related outcomes were all cause readmissions, HF readmissions and the composite endpoint of all-cause readmissions or death. Results: 43 patients included (67±11.3 years, 69% male); followed-up for 8.2±2.1 months. 25.6% had an abnormal MoCA score that remained stable during follow-up (22.6±4.2 vs. 22.2±5.5; p=NS). MoCA score <22 at discharge conferred a sixfold greater risk of HF readmission [HR=6.42 (1.26-32.61); p=0.025], also predicting all-cause readmissions [HR=4.00 (1.15-13.95); p=0.03] and death or all-cause readmissions [HR=4.63 (1.37-15.67); p=0.014]. Patients with higher MoCA score showed a greater ability to deal with their disease (p=0.038). At discharge, 14% and 18.6% had an abnormal HADS score for depression and anxiety, respectively, which remained stable during follow-up and was not related to MoCA. Conclusions: Cognitive function, anxiety and depressive status remain stable in HF patients despite optimized HF therapy. Cognitive status shall be routinely screened to adopt attitudes that improve management as it has an impact on HF-related QoL and prognosis.ElsevierRepositório da Universidade de LisboaRigueira, JoanaAgostinho, João R.Aguiar-Ricardo, InêsGonçalves, InêsSantos, RafaelNunes-Ferreira, AfonsoRodrigues, TiagoCunha, NelsonAndré, N’ZingaPires, RaquelVeiga, FátimaMendes Pedro, MónicaPinto, Fausto J.Brito, Dulce2021-10-11T15:55:17Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/49856engRev Port Cardiol (Engl Ed). 2021 Aug;40(8):547-55510.1016/j.repce.2020.09.0082174-2049info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:53:45Zoai:repositorio.ul.pt:10451/49856Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:01:22.341146Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Heart and brain interactions in heart failure: cognition, depression, anxiety, and related outcomes Interações entre o coração e o cérebro na insuficiência cardíaca: cognição, depressão, ansiedade e outcomes relacionados |
| title |
Heart and brain interactions in heart failure: cognition, depression, anxiety, and related outcomes |
| spellingShingle |
Heart and brain interactions in heart failure: cognition, depression, anxiety, and related outcomes Rigueira, Joana Anxiety Cognitive function Depression Heart failure Prognosis Quality of life |
| title_short |
Heart and brain interactions in heart failure: cognition, depression, anxiety, and related outcomes |
| title_full |
Heart and brain interactions in heart failure: cognition, depression, anxiety, and related outcomes |
| title_fullStr |
Heart and brain interactions in heart failure: cognition, depression, anxiety, and related outcomes |
| title_full_unstemmed |
Heart and brain interactions in heart failure: cognition, depression, anxiety, and related outcomes |
| title_sort |
Heart and brain interactions in heart failure: cognition, depression, anxiety, and related outcomes |
| author |
Rigueira, Joana |
| author_facet |
Rigueira, Joana Agostinho, João R. Aguiar-Ricardo, Inês Gonçalves, Inês Santos, Rafael Nunes-Ferreira, Afonso Rodrigues, Tiago Cunha, Nelson André, N’Zinga Pires, Raquel Veiga, Fátima Mendes Pedro, Mónica Pinto, Fausto J. Brito, Dulce |
| author_role |
author |
| author2 |
Agostinho, João R. Aguiar-Ricardo, Inês Gonçalves, Inês Santos, Rafael Nunes-Ferreira, Afonso Rodrigues, Tiago Cunha, Nelson André, N’Zinga Pires, Raquel Veiga, Fátima Mendes Pedro, Mónica Pinto, Fausto J. Brito, Dulce |
| author2_role |
author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
| dc.contributor.author.fl_str_mv |
Rigueira, Joana Agostinho, João R. Aguiar-Ricardo, Inês Gonçalves, Inês Santos, Rafael Nunes-Ferreira, Afonso Rodrigues, Tiago Cunha, Nelson André, N’Zinga Pires, Raquel Veiga, Fátima Mendes Pedro, Mónica Pinto, Fausto J. Brito, Dulce |
| dc.subject.por.fl_str_mv |
Anxiety Cognitive function Depression Heart failure Prognosis Quality of life |
| topic |
Anxiety Cognitive function Depression Heart failure Prognosis Quality of life |
| description |
© 2021 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espa ̃na, S.L.U. This is an open access article under the CCBY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021-10-11T15:55:17Z 2021 2021-01-01T00:00:00Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10451/49856 |
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http://hdl.handle.net/10451/49856 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
Rev Port Cardiol (Engl Ed). 2021 Aug;40(8):547-555 10.1016/j.repce.2020.09.008 2174-2049 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Elsevier |
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Elsevier |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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