NEUROPSYCHOLOGICAL STATUS OF PATIENTS WITH STABLE CORONARY ARTERY DISEASE AND FACTORS AFFECTING IT
https://doi.org/10.17802/2306-1278-2017-1-112-121
Abstract
The purpose. To assess neuropsychological status of patients with stable coronary artery disease (CAD) and to determine the factors affecting it.
Material and methods. 272 male patients aged 45-69 years were included in the study. Neuropsychological status of patients with coronary artery disease was assessed and presented as an integrated index.
Results. The integrated index of neuropsychological status was reported to be 2 times less than those in healthy subjects matched for age (0.47 [0.35; 0.59] vs. 0.8 [0.72; 0.87, (p <0.0001)). The most significant factors affecting neuropsychological status of patients with coronary artery disease were as follows: age (p = 0.00271), number of years of education (p = 0.033), left ventricular ejection fraction (LVEF) (p = 0.018), as well as plasma triglyceride levels (TG) (p = 0.003).
Conclusion. The integrated approach to the assessment of neuropsychological status in patients with CAD allows not only presenting it as a single index, but also determining the extent to which the index deviate from neuropsychological status of healthy subjects. The factors affecting neuropsychological status in patients with coronary artery disease were as follows: age, number of years of education, LVEF and plasma triglyceride levels.
About the Authors
O. A. TRUBNIKOVARussian Federation
6, Sosnoviy blvd., Kemerovo, 650002, Russian Federation Tel. +7(3842)643153
E. S. KAGAN
Russian Federation
Kemerovo, Russia
T. V. KUPRIYANOVA
Russian Federation
Kemerovo, Russia
O. V. MALEVA
Russian Federation
Kemerovo, Russia
Y. A. ARGUNOVA
Russian Federation
Kemerovo, Russia
I. N. KUKHAREVA
Russian Federation
Kemerovo, Russia
References
1. Ощепкова Е.В., Ефремова Ю.Е., Карпов Ю.А. Заболеваемость и смертность от инфаркта миокарда в Российской Федерации в 2000-2011гг. Терапевтический архив. 2013; 4: 4-10. Oshchepkova E.V., Efremova Iu. E., Karpov Iu. A. Myocardial infarction morbidity and mortality in the Russian Federation in 2000-2011. Ter Arkh. 2013; 85(4): 4-10 [In Russ];
2. Kovacic J.C., Castellano J.M., Fuster V. The links between complex coronary disease, cerebrovascular disease, and degenerative brain disease. Ann N Y Acad Sci. 2012; 1254: 99– 105. doi: 10.1111/j.1749-6632.2012.06482.x.
3. Левин О.С. Диагностика и лечение умеренных когнитивных нарушений в пожилом возрасте. Журнал неврологии и психиатрии им. С.С. Корсакова. 2006. 8: 42-49. Levin OS. Diagnosis and treatment of moderate cognitive disorders in the elderly. Zh Nevrol Psikhiatr Im S S Korsakova. 2006; 106(8): 42-9. [In Russ];
4. Боголепова А.Н., Семушкина Е.Г. Роль сердечно-сосудистой патологии в формировании и прогрессировании когнитивных нарушений. Неврологический журнал. 2011; 16 (4): 27-31. Bogolepova A.N., Semushkina E.G. Rol' serdechno-sosudistoj patologii v formirovanii i progressirovanii kognitivnyh narushenij. Nevrologicheskij zhurnal. 2011; 16 (4): 27-31
5. Барбараш О.Л., Кашталап В.В., Каретникова В.Н., Воронцова Н.Л., Девятова В.А., Гончаренко М.В. и др. Клиническая значимость показателей эндотелиальной дисфункции, оксидативного стресса и гемостаза у больных инфарктом миокарда. Патология кровообращения и кардиохирургия. 2007; 2: 28-33. Barbarash O.L., Kashtalap V.V., Karetnikova V.N., Voroncova N.L., Devjatova V.A., Goncharenko M.V. i dr. Klinicheskaja znachimost' pokazatelej jendotelial'noj disfunkcii, oksidativnogo stressa i gemostaza u bol'nyh infarktom miokarda. Patologija krovoobrashhenija i kardiohirurgija. 2007; 2: 28-33.
6. O'Donnell M., Teo K., Gao P., Anderson C., Sleight P., Dans A., Marzona I., Bosch J., Probstfield J., Yusuf S. Cognitive impairment and risk of cardiovascular events and mortality. Eur Heart J. 2012;33:1777–1786. doi: 10.1093/eurheartj/ehs053.
7. Petersen R.C., Stevens J.C., Ganguli M. et al. Mild cognitive impairment (an evidence- based review). Neurology 2001; 56: 1131-42.
8. Backman L., Ginovart N., Dixon R., et al. Age–related cognitive deficits mediated hv changes in the striatai dopamine system. Am J Psychiatry 2000; 57: 635–37.
9. Захаров В.В., Яхно Н.Н. Синдром умеренных когнитивных нарушений в пожилом возрасте – диагностика и лечение. Российский медицинский журнал. 2004; 10: 573–76. Zaharov V.V., Jahno N.N. Sindrom umerennyh kognitivnyh narushenij v pozhilom vozraste – diagnostika i lechenie. Rossijskij medicinskij zhurnal. 2004; 10: 573–76.
10. Дамулин И.В. Легкие когнитивные нарушения. Consilium Medicum. 2004; 6 (2): 149- 154. Damulin I.V. Legkie kognitivnye narushenija. Consilium Medicum. 2004; 6 (2): 149-154.
11. Heinzel S., Metzger F.G., Ehlis A.C., Korell R., Alboji A., Haeussinger F.B. et al. Age and vascular burden determinants of cortical hemodynamics underlying verbal fluency. PLoS One. 2015; 10(9): e0138863. doi: 10.1371/journal.pone.0138863.
12. de la Torre J. C. Cerebral hemodynamics and vascular risk factors: setting the stage for Alzheimer's disease. Journal of Alzheimers Disease. 2012; 32(3): 553–67. doi: 10.3233/Jad- 2012-120793ISI:000310576800005.
13. Okamoto Y., Yamamoto T., Kalaria R.N., Senzaki H., Maki T., Hase Y. et al. Cerebral hypoperfusion accelerates cerebral amyloid angiopathy and promotes cortical microinfarcts. Acta Neuropathol. 2012; 123 (3): 381–394. doi: 10.1007/s00401-011-0925-9.
14. Камчатнов П. Р., Зайцев К. А. Церебральная гипоперфузия и когнитивные нарушения. Фарматека. 2010; 13: 48-53. Kamchatnov P. R., Zajcev K. A. Cerebral'naja gipoperfuzija i kognitivnye narushenija. Farmateka. 2010; 13: 48-53
15. Гусев, Е. И., Скворцова В. И. Ишемия головного мозга. М; 2001. Gusev, E. I., Skvorcova V. I. Ishemija golovnogo mozga. Moscow; 2001.
16. Seifan A., Schelke M., Obeng-Aduasare Y., Isaacson R. Early Life Epidemiology of Alzheimer's Disease - A Critical Review. Neuroepidemiology. 2015; 45(4): 237-254.
17. Барбараш Н. А., Кувшинов Д. Ю., Чичиленко М. В., Барбараш О. Л. Конституционные аспекты психоэмоциональных стрессов юношеского возраста. Физиология человека. 2000; 26 (4): 140-142. Barbarash N. A., Kuvshinov D. Iu., Tul'chinskiĭ M. Ia., Chichilinko M. V., Barbarash O.L. Constitutional aspects of psychoemotional stresses in adolescents. Fiziol Cheloveka. 2000; 26(4): 140-2.
18. Огарков М. Ю., Барбараш О. Л., Казачек Я. В., Квиткова Л.В., Поликутина О. М., Барбараш Л. С. Распространенность компонентов метаболического синдрома x у коренного и некоренного населения Горной Шории. Сибирский научный медицинский журнал. 2004; 24 (1): 108-111. Ogarkov M.Yu., O.L. Barbarash, Ya.V. Kazachek, L.V. Kvitkova, O.M. Policutina, L.S. Barbarash The metabolic syndrome main components prevalence of aboriginal and non-aboriginal population of Gornaya Shoria. The Siberian Scientific Medical Journal. 2004; 24 (1): 108-111.
19. Одинак М.М., Емелин А.Ю., Лобзин В.Ю. Нарушение когнитивных функций при цереброваскулярной патологии. Санкт-Петербург: ВМедА; 2006. 158 с. Odinak M.M., Emelin A.Yu., Lobzin V.Yu. Narushenie kognitivnykh funktsii pri tserebrovaskulyarnoi patologii. The impairment in cognitive functions in cerebrovascular disease. Saint- Petersburg: VMedA; 2006. 158 p.
20. Farr S.A., Yamada K.A., Butterfield D.A., Abdul H.M., Xu L., Miller N.E., Banks W.A., Morley J.E. Obesity and Hypertriglyceridemia Produce Cognitive Impairment Endocrinology. 2008 May; 149(5): 2628–2636. doi: 10.1210/en.2007-1722
21. Banks W.A., Coon A.B., Robinson S.M., Moinuddin A., Shultz J.M., Nakaoke R., Morley J.E. Triglycerides induce leptin resistance at the bloodbrain barrier. Diabetes. 2004.-53:1253–1260.
22. Stanek K.M., Gunstad J., Paul R.H., Poppas A., Jefferson A.L., Sweet L.H., Hoth K.F., Haley A.P., Forman D.E., Cohen R..A. Longitudinal cognitive performance in older adults with cardiovascular disease: evidence for improvement in heart failure. 2009 May-Jun; 24(3):192- 7. doi: 10.1097/JCN.0b013e31819b54de.
23. Keary T., Gunstad J., Poppas A., et al. Blood pressure variability and dementia rating scale performance in older adults with cardiovascular disease. Cogn Behav Neurol 2007; 20(1):73–77
24. Halling A., Berglund J. Association of diagnosis of ischaemic heart disease, diabetes mellitus and heart failure with cognitive function in the elderly population. Eur J Gen Pract. 2006; 12 (3): 114–119.
Review
For citations:
TRUBNIKOVA O.A., KAGAN E.S., KUPRIYANOVA T.V., MALEVA O.V., ARGUNOVA Y.A., KUKHAREVA I.N. NEUROPSYCHOLOGICAL STATUS OF PATIENTS WITH STABLE CORONARY ARTERY DISEASE AND FACTORS AFFECTING IT. Complex Issues of Cardiovascular Diseases. 2017;(1):112-121. (In Russ.) https://doi.org/10.17802/2306-1278-2017-1-112-121