Table 3

Characteristics of studies examining cognitive function in patients with systolic heart failure

StudySampleAge (M ± SD)AnalysisCognitive functionsResultsNOS
Beer et al,25 2009
  • 31 CHF pts (LVEF <40%)

  • 24 healthy controls

  • 54.3±10.6

  • 56.1±8.2

MW rank test, Student t test
  • Global cognition

  • Verbal fluency

  • Verbal memory

  • Visuospatial memory

  • Visuospatial skills and executive function

  • Systolic HF pts < controls all cognitive domains

7
Grubb et al,26 2000
  • 20 HF pts with MI (LVEF <40%)

  • 20 pts with MI, no HF (LVEF >50%)

  • 67.9

  • 67.2

ANCOVA
  • Attention

  • Verbal memory

  • Visuospatial memory

  • Systolic HF pts = controls all tests

7
Hoth et al,27 2008
  • 31 HF pts (LVEF <40%)

  • 31 CVD pts, no HF

  • 69.1±8.5

  • 68.9±8.5

MANCOVA
  • Attention

  • Executive function*

  • Global cognition

  • Language

  • Memory

  • Psychomotor speed

  • Verbal fluency

  • Visuospatial skills

  • Systolic HF pts < controls

  • executive function: cognitive flexibility

6
Sauvé et al,28 2009
  • 50 HF pts (LVEF ≤40%)

  • 50 controls)

  • 63.0±14

  • 62.5±14

  • t test

  • logistic regression

  • Attention

  • Executive function

  • Motor speed

  • Psychomotor speed

  • Verbal memory

  • Verbal fluency

  • Vocabulary

  • Systolic HF pts < controls

  • Verbal memory

  • Fourfold risk for cognitive impairment in the systolic HF group

  • Executive function was not compared with controls

5
Schmidt et al,29 1991
  • 20 IDC pts (LVEF 14%–45%)

  • 20 controls

  • 37.9±4.7

  • 40.5±7.8

  • ANOVA

  • Duncan's t test

  • Attention

  • Learning & memory

  • Reaction time

  • Systolic HF pts < controls attention, learning and memory, reaction time

8
  • * Executive function test measuring cognitive flexibility.

  • ANOVA, analysis of variance; ANCOVA, analysis of covariance; CHF, congestive heart failure; CVD, cardiovascular disease; HF, heart failure; IDC, idiopathic dilated cardiomyopathy; LVEF, left ventricular ejection fraction; MANCOVA, multivariate analysis of covariance; MI, myocardial infarction; MW, Mann–Whitney; NOS, Newcastle-Ottawa quality assessment Scale rating; pts, patients.