Integrating assessment of cognitive status in elderly cardiovascular care.

Eiran Z Gorodeski, Ardeshir Z Hashmi

Journal: Clinical cardiology 2020;43(2):179-186

PMID: 31845363

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Abstract

Cardiovascular clinicians tend to pay little attention to issues related to cognition, and yet those caring for older adults will encounter a variety of conditions that may lead to cognitive impairment. Most commonly, these include cardiovascular disease-specific conditions such as cerebrovascular disease or heart failure, but may also include neurodegenerative conditions, mood disorders, medication side effects and polypharmacy, and nutritional deficiencies and metabolic derangements among others. This review presents evidence supporting the importance of assessing cognitive status in older adults with cardiovascular disease, and suggests a practical approach to assessment and management of cognitive impairment in this population when it is found. Special attention is paid to the importance of collaboration between cardiovascular and geriatric specialists, and the value it may bring to patients.

Address: Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio.; Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio.; Center for Geriatric Medicine, Medicine Institute, Cleveland Clinic, Cleveland, Ohio.

DOI: 10.1002/clc.23318

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MeSH Terms: Age Factors, Aged, Aged, 80 and over, Cardiologists, Cardiovascular Diseases, Cognition, Cognition Disorders, Cognitive Aging, Delivery of Health Care, Integrated, Geriatric Assessment, Geriatricians, Health Knowledge, Attitudes, Practice, Humans, Neuropsychological Tests, Patient Care Team, Patient Compliance, Predictive Value of Tests, Prognosis, Risk Factors, Self Care