Structural brain alterations in heart failure: a review of the literature and implications for risk of Alzheimer's disease

Verfasser / Beitragende:
[Michael Alosco, Scott Hayes]
Ort, Verlag, Jahr:
2015
Enthalten in:
Heart Failure Reviews, 20/5(2015-09-01), 561-571
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10741-015-9488-5  |2 doi 
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245 0 0 |a Structural brain alterations in heart failure: a review of the literature and implications for risk of Alzheimer's disease  |h [Elektronische Daten]  |c [Michael Alosco, Scott Hayes] 
520 3 |a Cardiovascular disease is a recognized contributor to the pathogenesis of Alzheimer's disease (AD). Heart failure (HF) is a cardiovascular subtype that can be used to model the contribution of cardiovascular disease to AD. Neuroimaging research indicates that HF patients exhibit a diverse range of structural brain alterations and epidemiological studies suggest HF may be an important risk factor for AD. The neural alterations observed in HF may overlap with those observed in AD and contribute to increased risk of AD in HF patients. To examine this possibility, we reviewed structural MRI studies in persons with HF. We examined subcortical brain regions affected in the early stages of AD (medial temporal lobes), as well as cortical alterations that typically occur in the later stages of AD. Our review indicates that patients with HF exhibit greater neural atrophy and white matter microstructural alterations of nearly every region of the Papez circuit (e.g., hippocampus, cingulate gyrus, thalamus, mammillary bodies, and fornix), as well-significant alterations in cortical and cerebellar regions. Based on animal research and past work in AD patients, the mechanisms for structural brain changes in HF may stem from reductions in cerebral blood flow subsequent to cardiac deficiency. This review supports the hypothesis that HF may contribute to AD risk via widespread structural brain changes, including many of the same regions affected by AD. Case-controlled prospective neuroimaging studies with long-term follow-ups are needed to clarify the risk of AD in HF and elucidate the neural underpinnings of AD risk in HF. 
540 |a Springer Science+Business Media New York (outside the USA), 2015 
690 7 |a Heart failure  |2 nationallicence 
690 7 |a Alzheimer's disease  |2 nationallicence 
690 7 |a Cerebrovascular disease  |2 nationallicence 
690 7 |a MRI  |2 nationallicence 
690 7 |a DTI  |2 nationallicence 
690 7 |a Medial temporal lobe  |2 nationallicence 
700 1 |a Alosco  |D Michael  |u Memory Disorders Research Center, VA Boston Healthcare System and Boston University School of Medicine, Boston, MA, USA  |4 aut 
700 1 |a Hayes  |D Scott  |u Memory Disorders Research Center, VA Boston Healthcare System and Boston University School of Medicine, Boston, MA, USA  |4 aut 
773 0 |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/5(2015-09-01), 561-571  |x 1382-4147  |q 20:5<561  |1 2015  |2 20  |o 10741 
856 4 0 |u https://doi.org/10.1007/s10741-015-9488-5  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
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950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10741-015-9488-5  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Alosco  |D Michael  |u Memory Disorders Research Center, VA Boston Healthcare System and Boston University School of Medicine, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hayes  |D Scott  |u Memory Disorders Research Center, VA Boston Healthcare System and Boston University School of Medicine, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/5(2015-09-01), 561-571  |x 1382-4147  |q 20:5<561  |1 2015  |2 20  |o 10741