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Journal of Global Diabetes & Clinical Metabolism

JGDCM

Aabstract

Research Article

Heart Failure, Metabolic Risk Factors and Dementia in South-Central United States

Gohar Azhar, Amanda K. Pangle and Jeanne Y. Wei

Correspondence Address :

Gohar Azhar
University of Arkansas for Medical Sciences
USA
Tel: (501) 686-5884
Email: azhargohar@uams.edu

Received on: January 24, 2017 , Accepted on: February 13, 2017 , Published on: February 20, 2017

Citation: Gohar Azhar, Amanda K. Pangle, Jeanne Y. Wei (2017). Heart Failure, Metabolic Risk Factor and Dementia in South-Central United States

Copyright: 2017 Gohar Azhar, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Objective: Heart failure (HF) is a frequent co morbid condition in the geriatric population and is the most common cause for hospitalizations and readmission in the elderly. The objective of this study was to attempt to define the impact of HF and its common co-morbid conditions on development of dementia.
Research Design & Methods: This was a retrospective study of elderly patients attending the out-patient geriatric clinic at the University of Arkansas for Medical Sciences. We analyzed the electronic health records of 252 HF patients with a mean age of 83 years for co-morbid conditions of hypertension, hyperlipidemia, diabetes mellitus and dementia. The relationship of BMI with these conditions was also determined.
Results: The most common co-morbid condition associated with HF was hypertension (97.2%), followed by hyperlipidemia (73.4%), diabetes (35.3%), and dementia (38.8%). Patients on average had 2 -3 co-morbid conditions in addition to HF. In the group with two co-morbid condition in addition to HF, the most common were hypertension and hyperlipidemia (72.6%), followed by hypertension and dementia (15.8%). In HF plus three co-morbid conditions, a combination of hypertension, hyperlipidemia, diabetes were the most common at 52.2%, followed a combination of hypertension, hyperlipidemia, dementia (42.2%).
Conclusion: Dementia appears to be a common co-morbid condition associated with HF and if the co-morbid conditions are well-managed, the progression of dementia could be reduced or modified. Primary healthcare providers as well as cardiologists should evaluate all HF patients for dementia through quick screening procedures. 
Keywords: Heart failure, Metabolic syndrome, Dementia
 

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