ArticleHeart & lung : the journal of critical care
The MoCA and MMSE as screeners for cognitive impairment in a heart failure population: a study with comprehensive neuropsychological testing.
Article in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.
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Who cites it
50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.
- The Utility of Cognitive Screening in Asian Patients With Heart Failure: A Systematic Review.Frontiers in psychiatry · 2022Pooled it
- Cognitive impairment and 30-day rehospitalization rate in patients with acute heart failure: A systematic review and meta-analysis.Indian heart journalPooled it
- The Relationship between Cognitive Dysfunction and Postural Stability in Multiple Sclerosis.Medicina (Kaunas, Lithuania) · 2021Trial
- An exploratory randomized sub-study of light-to-moderate intensity exercise on cognitive function, depression symptoms and inflammation in older adults with heart failure.Journal of psychosomatic research · 2020Trial
- Prospective randomized clinical trial on comprehensive cardiac rehabilitation combined with individualized cognitive training in older adults with heart failure and mild cognitive impairment.American heart journal plus : cardiology research and practice · 2026Article
- Cognitive assessment in heart failure: clinical value, timing, and practical tools.Heart failure reviews · 2026Review
- Cognitive Impairment in Patients with Glioma: Mechanisms, Assessment, and Emerging Therapeutic Strategies.Cancers · 2026Review
- Article
- White matter hyperintensities and relapse risk in late-life depression.Journal of affective disorders · 2025Article
- Amplitude of low-frequency fluctuation (ALFF) alterations in heart transplant patients with cognitive impairment: a resting-state fMRI study.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025Article
- Association between comprehensive geriatric assessment and Days Alive and Out of Hospital at 30 Days After Cardiac Surgery in Older Patients.The journal of nutrition, health & aging · 2025Observational
- Brain Age Is Not a Significant Predictor of Relapse Risk in Late-Life Depression.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025Article
- Response to "Postoperative Cognitive Dysfunction in Heart Transplantation Recipients".Clinical transplantation · 2024Article
- Analysis of Depression in Aged, Hospitalized Patients with Chronic Heart Failure.Alpha psychiatry · 2024Article
- Mapping research on cognitive impairment in heart failure patients: A bibliometric analysis from 2013 to 2022.Heliyon · 2024Review
- The Impact of Medication Regimen Adjustment Ratio on Adherence and Glycemic Control in Patients with Type 2 Diabetes and Mild Cognitive Impairment.Biomedicines · 2024Article
- Validity of the MoCA as a cognitive screening tool in epilepsy: Are there implications for global care and research?Epilepsia open · 2024Article
- Alterations in structural integrity of superior longitudinal fasciculus III associated with cognitive performance in cerebral small vessel disease.BMC medical imaging · 2024Article
- Usefulness of Clinical Frailty Scale for Comprehensive Geriatric Assessment of Older Heart Failure Patients.Circulation reports · 2024Article
- Cerebral hypometabolism mediates the effect of stroke volume on cognitive impairment in heart failure patients.ESC heart failure · 2024Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo examine the ability of the Mini Mental Status Examination (MMSE) and Montreal Cognitive Assessment (MoCA) to detect cognitive impairment in persons with heart failure (HF).
backgroundAlthough the MMSE and MoCA are commonly used screeners in HF, no research team has validated their performance against neuropsychological testing.
methodsParticipants were 106 patients with HF (49.1% male, 68.13 ± 9.82 years) who completed the MoCA, MMSE, and a full neuropsychological battery. Sensitivity and specificity were examined. Discriminant function analyses tested whether the screeners correctly detected cognitive impairment.
resultsA MoCA score <25 and MMSE score of <28 yielded optimal sensitivity/specificity (.64/.66 and .70/.66, respectively). The MoCA correctly classified 65% of patients, Wilk's lambda = .91, χ(2)(1) = 9.89, p < .01, and the MMSE correctly classified 68%, Wilk's lambda = .87, χ(2)(1) = 14.26, p < .001.
conclusionsIn HF, both the MoCA and MMSE are useful in identifying the majority of patients with and without cognitive impairment. Both tests misclassified approximately one-third of patients, so continued monitoring and evaluation of patients is needed in conjunction with screening.
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