We performed a longitudinal observational study using a convenience sample composed of 65 outpatients with HFrEF under follow‐up in the cardiology department of two hospitals in the North of Portugal (Guimarães and Barcelos). In this context, the current report aims to further explore the interplay between neuropsychological parameters, HrQoL, and prognosis in a sample of ambulatory patients with HFrEF. However, no previous study has followed HF with reduced ejection fraction (HFrEF) patients over time using guideline‐recommended tools to assess both CI and HrQoL. While these two tools were validated in clinical studies, MoCA identifies clinical relevant CI more often than Mini‐Mental State Examination.
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The European Society of Cardiology guidelines for the diagnosis and treatment of acute and chronic HF suggest the screening of CI using specific instruments such as the Montreal Cognitive Assessment (MoCA) or the Mini‐Mental State Examination. In fact, using different tools to assess cognitive performance and the heterogeneity of the populations studied may justify the wide range of CI prevalence reported in HF (25% to 80% across studies).
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Besides, the tool used to assess cognitive performance on this trial was not amongst the ones suggested by the European Society of Cardiology. Recently, the OPERA‐HF study investigated the prognostic value of psychosocial factors in HF and showed that moderate‐to‐severe depression, anxiety, and CI increase the risk of repeated admissions.ĭespite the importance of these findings, the sample was composed of both patients with reduced and preserved ejection fraction, which adds heterogeneity to the analysis. For example, patients with a higher prevalence of depressive symptoms are at higher risk of mortality and poorer HF outcomes. Several studies show that HF is associated with a high prevalence of neuropsychological disorders such as depression,Įvidence suggests that some of these factors are associated with prognosis. HF has a multisystemic impact, including mental health. Prior to joining U-TV and funding your account in order to view Igor Borges / Moca LEO Vieira / Bruno, or any other particular event via the U-TV live stream, you are strongly advised to check with U-TV if, depending on your place of residence, it is possible to view the live streamed event in question.Patients with heart failure (HF) have a worst health‐related quality of life (HrQoL) when compared with healthy populations and patients with other chronic diseases. However, please note that the intellectual property rights to stream such events are usually owned at a country level and therefore, depending on your location, there may be certain events that you may be unable to view due to such restrictions. *Important notice – in partnership with U-TV offers over 140,000 live streaming events per year.
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