Coronary heart disease, heart failure, and the risk of dementia: A systematic review and meta-analysis

Cardiovascular risk factors are closely linked with dementia risk, but whether heart disease predisposes to dementia is uncertain. We systematically reviewed the literature and meta-analyzed risk estimates from longitudinal studies reporting the association of coronary heart disease (CHD) or heart f...

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Veröffentlicht in:Alzheimer's & dementia 2018-11, Vol.14 (11), p.1493-1504
Hauptverfasser: Wolters, Frank J., Segufa, Reffat A., Darweesh, Sirwan K.L., Bos, Daniel, Ikram, Mohammad Arfan, Sabayan, Behnam, Hofman, Albert, Sedaghat, Sanaz
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container_end_page 1504
container_issue 11
container_start_page 1493
container_title Alzheimer's & dementia
container_volume 14
creator Wolters, Frank J.
Segufa, Reffat A.
Darweesh, Sirwan K.L.
Bos, Daniel
Ikram, Mohammad Arfan
Sabayan, Behnam
Hofman, Albert
Sedaghat, Sanaz
description Cardiovascular risk factors are closely linked with dementia risk, but whether heart disease predisposes to dementia is uncertain. We systematically reviewed the literature and meta-analyzed risk estimates from longitudinal studies reporting the association of coronary heart disease (CHD) or heart failure (HF) with risk of dementia. We identified 16 studies (1,309,483 individuals) regarding CHD, and seven studies (1,958,702 individuals) about HF. A history of CHD was associated with a 27% increased risk of dementia (pooled relative risk [RR] [95% confidence interval, CI]: 1.27 [1.07–1.50]), albeit with considerable heterogeneity across studies (I2 = 80%). HF was associated with 60% increased dementia risk (pooled RR 1.60 [1.19–2.13]) with moderate heterogeneity (I2 = 59%). Among prospective population-based cohorts, pooled estimates were similar (for CHD, RR 1.26 [1.06–1.49], nine studies; and HF, RR 1.80 [1.41–2.31], four studies) and highly consistent (I2 = 0%). CHD and HF are associated with an increased risk of dementia.
doi_str_mv 10.1016/j.jalz.2018.01.007
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source Wiley Online Library Journals Frontfile Complete
subjects Alzheimer's disease
Coronary heart disease
Dementia
Heart failure
Myocardial infarction
title Coronary heart disease, heart failure, and the risk of dementia: A systematic review and meta-analysis
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