Influence of Myocardial Infarction, Coronary Artery Bypass Surgery, and Stroke on Cognitive Impairment in Late Life
Relations between cognitive test scores in later life and prior myocardial infarction (MI), coronary artery bypass graft surgery (CABG), and stroke were examined for this study. Subjects were 3,734 Japanese-American men (80% of surviving Honolulu Heart Program cohort) aged 71 to 93 years at the time...
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| Veröffentlicht in: | The American journal of cardiology 1998-04, Vol.81 (8), p.1017-1021 |
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| container_title | The American journal of cardiology |
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| creator | Petrovitch, Helen White, Lon Masaki, Kamal H Ross, G.Webster Abbott, Robert D Rodriguez, Beatriz L Lu, Guiqing Burchfiel, Cecil M Blanchette, Patricia L Curb, J.David |
| description | Relations between cognitive test scores in later life and prior myocardial infarction (MI), coronary artery bypass graft surgery (CABG), and stroke were examined for this study. Subjects were 3,734 Japanese-American men (80% of surviving Honolulu Heart Program cohort) aged 71 to 93 years at the time of cognitive testing. Impairment was defined as scoring below the 16th percentile on a validated cognitive assessment scale. Prior MI, stroke, and CABG were established using hospital surveillance, history, and record review. After adjustment for age, years of education, and years of childhood spent in Japan, men with prior stroke were significantly more likely than others to have poor cognitive performance (odds ratio 4.4, 95% confidence limits 3.0 to 6.7). History of >1 stroke was associated with an odds ratio of 50 (95% confidence limits 10.5 to 238.3). There was no significant association between cognitive performance and ≥1 prior MI or history of CABG. Time between events and cognitive function testing did not affect results. Analyses support a significant association between clinical stroke and persistent cognitive impairment, but fail to implicate CABG or MI. |
| doi_str_mv | 10.1016/S0002-9149(98)00082-4 |
| format | Article |
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Subjects were 3,734 Japanese-American men (80% of surviving Honolulu Heart Program cohort) aged 71 to 93 years at the time of cognitive testing. Impairment was defined as scoring below the 16th percentile on a validated cognitive assessment scale. Prior MI, stroke, and CABG were established using hospital surveillance, history, and record review. After adjustment for age, years of education, and years of childhood spent in Japan, men with prior stroke were significantly more likely than others to have poor cognitive performance (odds ratio 4.4, 95% confidence limits 3.0 to 6.7). History of >1 stroke was associated with an odds ratio of 50 (95% confidence limits 10.5 to 238.3). There was no significant association between cognitive performance and ≥1 prior MI or history of CABG. Time between events and cognitive function testing did not affect results. Analyses support a significant association between clinical stroke and persistent cognitive impairment, but fail to implicate CABG or MI.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/S0002-9149(98)00082-4</identifier><identifier>PMID: 9576163</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Aging - physiology ; Aging - psychology ; Atherosclerosis (general aspects, experimental research) ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Cerebrovascular Disorders - complications ; Cognition & reasoning ; Cognition - physiology ; Cognition Disorders - diagnosis ; Cognition Disorders - ethnology ; Cognition Disorders - etiology ; Coronary Artery Bypass - adverse effects ; Heart attacks ; Humans ; Male ; Medical sciences ; Myocardial Infarction - complications ; Myocardial Infarction - surgery ; Odds Ratio ; Older people ; Population Surveillance ; Psychological Tests ; Retrospective Studies ; Stroke ; Surgery</subject><ispartof>The American journal of cardiology, 1998-04, Vol.81 (8), p.1017-1021</ispartof><rights>1998 Elsevier Science Inc.</rights><rights>1998 INIST-CNRS</rights><rights>Copyright Elsevier Sequoia S.A. 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Subjects were 3,734 Japanese-American men (80% of surviving Honolulu Heart Program cohort) aged 71 to 93 years at the time of cognitive testing. Impairment was defined as scoring below the 16th percentile on a validated cognitive assessment scale. Prior MI, stroke, and CABG were established using hospital surveillance, history, and record review. After adjustment for age, years of education, and years of childhood spent in Japan, men with prior stroke were significantly more likely than others to have poor cognitive performance (odds ratio 4.4, 95% confidence limits 3.0 to 6.7). History of >1 stroke was associated with an odds ratio of 50 (95% confidence limits 10.5 to 238.3). There was no significant association between cognitive performance and ≥1 prior MI or history of CABG. Time between events and cognitive function testing did not affect results. Analyses support a significant association between clinical stroke and persistent cognitive impairment, but fail to implicate CABG or MI.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging - physiology</subject><subject>Aging - psychology</subject><subject>Atherosclerosis (general aspects, experimental research)</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Cerebrovascular Disorders - complications</subject><subject>Cognition & reasoning</subject><subject>Cognition - physiology</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - ethnology</subject><subject>Cognition Disorders - etiology</subject><subject>Coronary Artery Bypass - adverse effects</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Myocardial Infarction - complications</subject><subject>Myocardial Infarction - surgery</subject><subject>Odds Ratio</subject><subject>Older people</subject><subject>Population Surveillance</subject><subject>Psychological Tests</subject><subject>Retrospective Studies</subject><subject>Stroke</subject><subject>Surgery</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU9rGzEQxUVpSd20HyEgSgkNZFv9XUmnkpi0Mbj04PYs5N1RULorudJuwN8-cmJy6Gl4Mz-GmfcQOqPkCyW0_bohhLDGUGE-G31RhWaNeIUWVCvTUEP5a7R4Qd6id6XcV0mpbE_QiZGqpS1foLKKfpghdoCTxz_3qXO5D27Ate9yN4UUL_Ey5RRd3uOrPEEt1_udKwVv5nxX5SV2scebKae_dUms9F0MU3gAvBp3LuQR4oRDxGs3AV4HD-_RG--GAh-O9RT9-X7ze3nbrH_9WC2v1g1wRqbGA_Nc90JQtZWSsJY4U28WWjmmethCbUjPfc8Nk45rpZzgpjLCa9Z5xU_R-fPeXU7_ZiiTHUPpYBhchDQXq4zmhqoD-PE_8D7NOdbbLOOES2mUrtDZEZq3I_R2l8NYPbFHK-v803HuSucGn13sQnnBGKOSCFKxb88Y1M8fAmRbunDwvw8Zusn2KVhK7CFi-xSxPeRnjbZPEVvBHwF-PJaA</recordid><startdate>19980415</startdate><enddate>19980415</enddate><creator>Petrovitch, Helen</creator><creator>White, Lon</creator><creator>Masaki, Kamal H</creator><creator>Ross, G.Webster</creator><creator>Abbott, Robert D</creator><creator>Rodriguez, Beatriz L</creator><creator>Lu, Guiqing</creator><creator>Burchfiel, Cecil M</creator><creator>Blanchette, Patricia L</creator><creator>Curb, J.David</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7TS</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>19980415</creationdate><title>Influence of Myocardial Infarction, Coronary Artery Bypass Surgery, and Stroke on Cognitive Impairment in Late Life</title><author>Petrovitch, Helen ; White, Lon ; Masaki, Kamal H ; Ross, G.Webster ; Abbott, Robert D ; Rodriguez, Beatriz L ; Lu, Guiqing ; Burchfiel, Cecil M ; Blanchette, Patricia L ; Curb, J.David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e320t-fe2f38d4417b550260a9163487a27debe60a5f3fd3925a3877a439a914f82cf73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - physiology</topic><topic>Aging - psychology</topic><topic>Atherosclerosis (general aspects, experimental research)</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Cerebrovascular Disorders - complications</topic><topic>Cognition & reasoning</topic><topic>Cognition - physiology</topic><topic>Cognition Disorders - diagnosis</topic><topic>Cognition Disorders - ethnology</topic><topic>Cognition Disorders - etiology</topic><topic>Coronary Artery Bypass - adverse effects</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Myocardial Infarction - complications</topic><topic>Myocardial Infarction - surgery</topic><topic>Odds Ratio</topic><topic>Older people</topic><topic>Population Surveillance</topic><topic>Psychological Tests</topic><topic>Retrospective Studies</topic><topic>Stroke</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Petrovitch, Helen</creatorcontrib><creatorcontrib>White, Lon</creatorcontrib><creatorcontrib>Masaki, Kamal H</creatorcontrib><creatorcontrib>Ross, G.Webster</creatorcontrib><creatorcontrib>Abbott, Robert D</creatorcontrib><creatorcontrib>Rodriguez, Beatriz L</creatorcontrib><creatorcontrib>Lu, Guiqing</creatorcontrib><creatorcontrib>Burchfiel, Cecil M</creatorcontrib><creatorcontrib>Blanchette, Patricia L</creatorcontrib><creatorcontrib>Curb, J.David</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Petrovitch, Helen</au><au>White, Lon</au><au>Masaki, Kamal H</au><au>Ross, G.Webster</au><au>Abbott, Robert D</au><au>Rodriguez, Beatriz L</au><au>Lu, Guiqing</au><au>Burchfiel, Cecil M</au><au>Blanchette, Patricia L</au><au>Curb, J.David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of Myocardial Infarction, Coronary Artery Bypass Surgery, and Stroke on Cognitive Impairment in Late Life</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>1998-04-15</date><risdate>1998</risdate><volume>81</volume><issue>8</issue><spage>1017</spage><epage>1021</epage><pages>1017-1021</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>Relations between cognitive test scores in later life and prior myocardial infarction (MI), coronary artery bypass graft surgery (CABG), and stroke were examined for this study. Subjects were 3,734 Japanese-American men (80% of surviving Honolulu Heart Program cohort) aged 71 to 93 years at the time of cognitive testing. Impairment was defined as scoring below the 16th percentile on a validated cognitive assessment scale. Prior MI, stroke, and CABG were established using hospital surveillance, history, and record review. After adjustment for age, years of education, and years of childhood spent in Japan, men with prior stroke were significantly more likely than others to have poor cognitive performance (odds ratio 4.4, 95% confidence limits 3.0 to 6.7). History of >1 stroke was associated with an odds ratio of 50 (95% confidence limits 10.5 to 238.3). There was no significant association between cognitive performance and ≥1 prior MI or history of CABG. Time between events and cognitive function testing did not affect results. Analyses support a significant association between clinical stroke and persistent cognitive impairment, but fail to implicate CABG or MI.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9576163</pmid><doi>10.1016/S0002-9149(98)00082-4</doi><tpages>5</tpages></addata></record> |
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| ispartof | The American journal of cardiology, 1998-04, Vol.81 (8), p.1017-1021 |
| issn | 0002-9149 1879-1913 |
| language | eng |
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| source | Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE |
| subjects | Aged Aged, 80 and over Aging - physiology Aging - psychology Atherosclerosis (general aspects, experimental research) Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Cerebrovascular Disorders - complications Cognition & reasoning Cognition - physiology Cognition Disorders - diagnosis Cognition Disorders - ethnology Cognition Disorders - etiology Coronary Artery Bypass - adverse effects Heart attacks Humans Male Medical sciences Myocardial Infarction - complications Myocardial Infarction - surgery Odds Ratio Older people Population Surveillance Psychological Tests Retrospective Studies Stroke Surgery |
| title | Influence of Myocardial Infarction, Coronary Artery Bypass Surgery, and Stroke on Cognitive Impairment in Late Life |
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