Evidence map›Paper›PMID 38575050›Full record

ArticleAmerican heart journal2024

Association of cardiovascular diseases with cognitive performance in older adults.

Dae Yong Park, Yasser Jamil, Golsa Babapour, Junglee Kim, Greta Campbell, Zafer Akman, Ajar Kochar, Sounok Sen, Marc D Samsky, Nikhil V Sikand and 3 more

Abstract read
In one paragraph

Article in American heart journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. The Impact of Cognitive Impairment on Cardiovascular Disease.Journal of the American College of Cardiology · 2025
    Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Dae Yong ParkDepartment of Medicine, Cook County Health, Chicago, IL.
Yasser JamilDepartment of Medicine, Yale New Haven Program, Waterbury, CT.
Golsa BabapourSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT.
Junglee KimDepartment of Medicine, Cook County Health, Chicago, IL.
Greta CampbellDepartment of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, MA.
Zafer AkmanDepartment of Medicine, Yale School of Medicine, New Haven, CT.
Ajar KocharDepartment of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Richard and Susan Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Sounok SenSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT.
Marc D SamskySection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT.
Nikhil V SikandSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT.
Jennifer FramptonSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT.
Abdulla Al DamlujiInova Center of Outcomes Research, Falls Church, VA; Johns Hopkins University School of Medicine, Baltimore, MD.
Michael G NannaSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT. Electronic address: michael.nanna@yale.edu.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Lauren Ferrante · 2002 to 2026
$37.9M
Technological Assessment and Solutions Core - RC4P30AG021334 · NIA · JOHNS HOPKINS UNIVERSITY · PI Jeremy D Walston · 2003 to 2026
$33.2M
Frailty and Resiliency in Older Adults with Acute Myocardial InfarctionK23HL153771 · NHLBI · INOVA HEALTH CARE SERVICES · PI DAMLUJI, ABDULLA AL · 2020 to 2024
$916k
Generating novel predictive models to estimate the risk of future ASCVD & Dementia in older adultsR03AG074067 · NIA · YALE UNIVERSITY · PI NANNA, MICHAEL · 2021 to 2022
$335k
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K23 HL153771NIA NIH HHS P30 AG021334NIA NIH HHS P30 AG021342NIA NIH HHS R03 AG074067
6 · The paper itself

Abstract

backgroundCognitive function and cardiovascular disease (CVD) have a bidirectional relationship, but studies on the impact of CVD subtypes and aging spectrum have been scarce.

methodsWe assessed older adults aged ≥60 years from the 2011 to 2012 and 2013 to 2014 cycles of the National Health and Nutrition Examination Survey who had coronary heart disease, angina, prior myocardial infarction, congestive heart failure, or prior stroke. We compared CERAD-IR, CERAD-DR, Animal Fluency test, and DSST scores to assess cognitive performance in older adults with and without CVD.

resultsWe included 3,131 older adults, representing 55,479,673 older adults at the national level. Older adults with CVD had lower CERAD-IR (mean difference 1.8, 95% CI 1.4-2.1, P < .001), CERAD-DR (mean difference 0.8, 95% CI 0.6-1.0, P < .001), Animal Fluency test (mean difference 2.1, 95% CI 1.6-2.6, P < .001), and DSST (mean difference 9.5, 95% CI 8.0-10.9, P < .001) scores compared with those without CVD. After adjustment, no difference in CERAD-IR, CERAD-DR, and Animal Fluency test scores was observed, but DSST scores were lower in older adults with CVD (adjusted mean difference 2.9, 95% CI 1.1-4.7, P = .001). Across CVD subtypes, individuals with congestive heart failure had lower performance on the DSST score. The oldest-old cohort of patients ≥80 years old with CVD had lower performance than those without CVD on both the DSST and Animal Fluency test.

conclusionOlder adults with CVD had lower cognitive performance as measured than those free of CVD, driven by pronounced differences among those with CHF and those ≥80 years old with CVD.

Indexed as

Cardiovascular DiseasesCognitionNutrition SurveysAgedAged, 80 and overCognitive DysfunctionFemaleHumansMaleMiddle AgedRisk FactorsUnited States

Identifiers

PMID38575050
PMCPMC11162917

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.