Assessment of cognitive function in elderly patients with heart failure.

Revista da Associacao Medica Brasileira (1992) Pub Date : 2024-08-16 eCollection Date: 2024-01-01 DOI:10.1590/1806-9282.20240429

Leandro Marques da Silva, Carla Priscilla Belchior Marques Sampaio, Nair Eloá Dos Santos Guimarães, Luiza Pinto Moreno, Gedean Souza Pontes, Emmanuela de Jesus Furtado Ferreira, José Albuquerque de Figueiredo Neto

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Abstract

Objective: To compare the Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) tests for the identification of cognitive deficit (CD) in elderly patients with heart failure (HF).

Methods: This was a cross-sectional study with an observational design involving 43 elderly patients with HF of both sexes, treated by the Unified Health System, who were able to understand and follow the study instructions. A sociodemographic and clinical questionnaire and the MMSE and MoCA neurocognitive tests were applied.

Results: The mean age of the patients was 67 years; 67.44% were male; 53.49% were white; 58.14% had 1-4 years of schooling; 58.14% had an income of half to one minimum wage; 55.81% were married; 53.49% had a family history of HF; 90.7% denied smoking; 83.72% denied alcohol intake; 65.12% did not practice physical activity; 83.72% were hypertensive; 30.23% were diabetic; 57.89% had LVEF ≥ 50%; 39.53% have NYHA II; and 88.37% did not have a pacemaker. In the identification of CD, the MMSE test detected it in 25.58% of the patients, while the MoCA test identified it in 23.26% (p=0.043).

Conclusion: It was concluded that the MMSE test performed better than the MoCA test in the identification of CD in elderly patients with HF.

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评估老年心力衰竭患者的认知功能。

目的比较迷你精神状态检查（MMSE）和蒙特利尔认知评估（MoCA）测试在识别老年心力衰竭（HF）患者认知缺陷（CD）方面的作用：这是一项采用观察法设计的横断面研究，共有43名老年心力衰竭患者参加，男女患者均在统一医疗系统接受治疗，能够理解并遵守研究说明。研究采用了社会人口学和临床问卷调查以及MMSE和MoCA神经认知测试：患者的平均年龄为 67 岁；67.44% 为男性；53.49% 为白人；58.14% 受过 1-4 年教育；58.14% 的收入为最低工资的一半至一半；55.81% 已婚；53.49% 有高血压家族史；90.7%否认吸烟；83.72%否认饮酒；65.12%没有体育锻炼；83.72%有高血压；30.23%有糖尿病；57.89%LVEF≥50%；39.53%有NYHA II；88.37%没有起搏器。在识别 CD 方面，MMSE 测试发现 25.58% 的患者患有 CD，而 MoCA 测试发现 23.26% 的患者患有 CD（P=0.043）：结论：在识别老年心房颤动患者的 CD 方面，MMSE 测试优于 MoCA 测试。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista da Associacao Medica Brasileira (1992)

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