Cognitive impairment in heart failure patients: association with abnormal circadian blood pressure rhythm: a review from the HOPE Asia Network

Komori, Takahiro and Hoshide, Satoshi and Turana, Yuda and Sogunuru, Guru Prasad and Kario, Kazuomi and Wang, Ji Guan and Chia, Yook Chin * (2023) Cognitive impairment in heart failure patients: association with abnormal circadian blood pressure rhythm: a review from the HOPE Asia Network. Hypertension Research, 47. pp. 267-270. ISSN 1348-4214

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Official URL: https://www.nature.com/articles/s41440-023-01423-7

Abstract

Cognitive impairment (CI) is frequently a comorbid condition in heart failure (HF) patients, and is associated with increased cardiovascular events and death. Numerous factors contribute to CI in HF patients. Decreased cerebral blood flow, inflammation, and activation of neurohumoral factors are all thought to be factors that exacerbate CI. Hypoperfusion of the brain due to decreased systemic blood flow, cerebral venous congestion, and atherosclerosis are the main mechanism of CI in HF patients. Abnormal circadian BP rhythm is one of the other conditions associated with CI. The conditions in which BP does not decrease sufficiently or increases during the night are called non-dipper or riser BP patterns. Abnormal circadian BP rhythm worsens CI in HF patients through cerebral congestion during sleep and atherosclerosis due to pressure overload. Interventions for CI in HF patients include treatment for HF itself using cardiovascular drugs, and treatment for fluid retention, one of the causes of abnormal circadian rhythms.

Item Type: Article
Uncontrolled Keywords: cognitive impairment; heart failure; cardiovascular events; decreased cerebral blood flow;
Subjects: R Medicine > RC Internal medicine
Divisions: Others > Non Sunway Academics
Sunway University > School of Medical and Life Sciences [formerly School of Healthcare and Medical Sciences until 2020] > Department of Medical Sciences
Depositing User: Ms Yong Yee Chan
Related URLs:
Date Deposited: 08 Jul 2024 02:49
Last Modified: 08 Jul 2024 02:49
URI: http://eprints.sunway.edu.my/id/eprint/2753

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