Hypotension and cognitive impairment: Selective association in patients with heart failure
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To the Editor:
We read with interest the article by Zuccalà et al.1 and the related editorial2 on the association between heart function and cognition. We would like to contribute to this topic presenting original data on the correlation between hemodynamic variables and cognitive decline in old patients affected by heart failure (HF).
One hundred and nineteen hospital inpatients aged >65 years (Medical Unit for the Acute Care of the Elderly–Poliambulanza Hospital, Brescia, Italy; mean age 79.5 years, 67% women) who were consecutively admitted for HF were assessed by complete clinical history, physical examination, EKG, and echocardiography. Cognitive status (Mini-Mental State Examination [MMSE]), depression (Global Depression Scale [GDS]), comorbidity (Charlson Index), APACHE II …
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