Milan, Italy - 4 May 2019: Two-thirds of patients with heart failure have cognitive problems, according to research presented today at EuroHeartCare 2019, a scientific congress of the European Society of Cardiology (ESC).1
Heart failure patients who walked further in a six-minute test, which shows better fitness, as well as those who were younger and more highly educated, were significantly less likely to have cognitive impairment. The results suggest that fitter patients have healthier brain function.
Study author Professor Ercole Vellone, of the University of Rome "Tor Vergata", Italy, said: "The message for patients with heart failure is to exercise. We don't have direct evidence yet that physical activity improves cognition in heart failure patients, but we know it improves their quality and length of life. In addition, studies in older adults have shown that exercise is associated with improved cognition - we hope to show the same for heart failure patients in future studies."
The cognitive abilities that are particularly damaged in heart failure patients are memory, processing speed (time it takes to understand and react to information), and executive functions (paying attention, planning, setting goals, making decisions, starting tasks).
"These areas are important for memorising healthcare information and having the correct understanding and response to the disease process," said Professor Vellone. "For example, heart failure patients with mild cognitive impairment may forget to take medicines and may not comprehend that weight gain is an alarming situation that requires prompt intervention."
The study highlights that cognitive dysfunction is a common problem in patients with heart failure - 67% had at least mild impairment. "Clinicians might need to adapt their educational approach with heart failure patients - for example involving a family caregiver to oversee patient adherence to the prescribed treatment," said Professor Vellone.
The study used data from the HF-Wii study, which enrolled 605 patients with heart failure from six countries. The average age was 67 and 71% were male. The Montreal Cognitive Assessment test was used to measure cognitive function and exercise capacity was measured with the six-minute walk test.
Professor Vellone said: "There is a misconception that patients with heart failure should not exercise. That is clearly not the case. Find an activity you enjoy that you can do regularly. It could be walking, swimming, or any number of activities. There is good evidence that it will improve your health and your memory, and make you feel better."
The HF-Wii study was led by Professor Tiny Jaarsma and Professor Anna Stromberg from Linkoping University, Sweden.
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Notes to editor
The hashtag for EuroHeartCare 2019 is #euroheartcare.
Funding: This work was supported through the Swedish National Science Council (K2013-69X-22302-01-3, 2016-01390), Swedish National Science Council/Swedish research council for health, working life and welfare (VR-FORTE) 2014-4100, The Swedish Heart and Lung Association E085/12, The Swedish Heart-Lung Foundation (20130340 and 20160439), the Vårdal Foundation (2014-0018), the Medical Research Council of Southeast Sweden (FORSS 474681).
Disclosures: None.
References and notes
1The abstract 'Cognitive impairment in patients with heart failure: a descriptive international study' will be presented during Moderated poster session - Heart Failure on Saturday 4 May at 10:45 to 11:45 CEST in the Moderated Poster Area.
About the Association of Cardiovascular Nursing & Allied Professions
The mission of the Association of Cardiovascular Nursing & Allied Professions (ACNAP) is to support nurses and allied health professionals throughout Europe to deliver the best possible care to patients with cardiovascular disease and their families.
EuroHeartCare is the annual Congress of the Association of Cardiovascular Nursing & Allied Professions (ACNAP) of the European Society of Cardiology (ESC).
About the European Society of Cardiology
The European Society of Cardiology brings together health care professionals from more than 150 countries, working to advance cardiovascular medicine and help people lead longer, healthier lives.
Information for journalists attending EuroHeartCare 2019
EuroHeartCare 2019 will be held 2 to 4 May at the Milano Convention Centre (MiCo) in Milan, Italy. Explore the scientific programme.
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