Heart Failure-Induced Brain Injury
Ofer Havakuk, Kevin S King, Luanda Grazette, Andrew J Yoon, Michael Fong, Noa Bregman, Uri Elkayam, Robert A Kloner, Ofer Havakuk, Kevin S King, Luanda Grazette, Andrew J Yoon, Michael Fong, Noa Bregman, Uri Elkayam, Robert A Kloner
Abstract
Heart failure (HF) is a systemic illness with grave implications for bodily functions. The brain, among other vital organs, often suffers insults as a result of HF, and both anatomic and functional brain abnormalities were found in the HF population. This injury was demonstrated across a wide range of clinical conditions and cardiac functions and was shown to affect patients' outcomes. Although reduced cardiac output and high burden of cardiovascular risk factors are the prevailing explanations for these findings, there are data showing the involvement of neurohormonal, nutritional, and inflammatory mechanisms in this complex process. Here, the authors review the suggested pathophysiology behind brain injury in HF, describe its effect on patients' outcomes, offer a diagnostic approach, and discuss possible therapeutic options.
Keywords: cerebral blood flow; cognitive impairment; depression.
Copyright © 2017 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
Source: PubMed