Cardiovascular aging and psychometric performances: correlations in a group of ultraseptagenarian elderly

Maugeri, D.; Testai, M.; Sant’Angelo, Antonino; Abbate, Stefano; Bennati, E.; Bonanno, Maria; Giudice, Fabrizio Lo; Mamazza, C.; Panebianco, P.

doi:10.1016/j.archger.2004.05.003

Cited by 6 publications

(9 citation statements)

References 8 publications

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“…The relation between the impairments of basic activities of daily living and instrumental activities of daily living and cardiovascular co-morbidities has not been extensively studied[20,21]. Maugeri et al related several parameters (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…Maugeri et al related several parameters (e.g. walking speed, cognitive function, personal care) to systolic LV function in 170 individuals older than 70 years[21]. The authors demonstrated significant functional disability in those individuals with heart failure, whereas individuals with preserved systolic LV function obtained better scores in the tests[21].…”

Section: Discussionmentioning

confidence: 99%

“…walking speed, cognitive function, personal care) to systolic LV function in 170 individuals older than 70 years[21]. The authors demonstrated significant functional disability in those individuals with heart failure, whereas individuals with preserved systolic LV function obtained better scores in the tests[21]. In contrast, Formiga et al evaluated the predictors of functional decline in 97 nonagenarians at 1 year follow-up and identified a history of stroke as an independent risk factor whereas the history of ischemic cardiomyopathy or heart failure were not related to functional decline[20].…”

Section: Discussionmentioning

confidence: 99%

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Impact of valvular heart disease on activities of daily living of nonagenarians: the leiden 85-plus study a population based study

et al. 2010

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BackgroundData on the prevalence of valvular heart disease in very old individuals are scarce and based mostly on in-hospital series. In addition, the potential detrimental effect of valvular heart disease on the activities of daily living is unknown. The present study evaluated the prevalence of significant valvular heart disease and the impact of valvular heart disease on the activities of daily living in community dwelling nonagenarians. Nested within the Leiden 85-plus study, a population based follow-up study of the oldest old, a sample of 81 nonagenarians was recruited.MethodsThe left ventricular (LV) dimensions, function and the presence and severity of heart valvular disease were evaluated by echocardiography. Significant valvular heart disease included any mitral or aortic stenosis severity, moderate or severe mitral regurgitation, moderate or severe aortic regurgitation and moderate or severe tricuspid regurgitation. Activities of daily living were assessed using the Groningen Activity Restriction Scale (GARS).ResultsLV cavity diameters (end-diastolic diameter 47 ± 8 mm, end-systolic diameter 30 ± 8 mm) and systolic LV function (LV ejection fraction 66 ± 13%) were within normal for the majority of the participants. Significant valvular disease was present in 57 (70%) individuals, with mitral regurgitation and aortic regurgitation as the most frequent valve diseases (49% and 28% respectively). The GARS score between individuals with and without significant valvular heart disease was similar (36.2 ± 9.2 vs. 34.4 ± 13.2, p = 0.5).ConclusionsNonagenarian, outpatient individuals have a high prevalence of significant valvular heart disease. However, no relation was observed between the presence of significant valvular heart disease and the ability to perform activities of daily living.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Impact of valvular heart disease on activities of daily living of nonagenarians: the leiden 85-plus study a population based study

et al. 2010

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“…Among the elderly, the relationship between poor functioning and indicators of cardiac dysfunction has not been extensively studied. Maugeri et al demonstrated the existence of a correlation between decreased EF and impaired global psychocognitive performance (MMSE, GDS, ADL and IADL) in ultraseptagenarians [6]. Van Bemmel, however, did not find a relation between activities of daily living and the presence of significant valvular heart disease [29].…”

Section: Correlation Of Structural and Functional Echocardiographic Amentioning

confidence: 97%

“…Previous research has shown a relationship between cardiac dysfunction and limited physical capacity, depression and cognitive impairment [4][5][6][7][8]. However, little is known about this relationship in the very elderly.…”

Section: Introductionmentioning

confidence: 97%