Heart Failure-Induced Brain Injury.
Havakuk Ofer,King Kevin S,Grazette Luanda,Yoon Andrew J,Fong Michael,Bregman Noa,Elkayam Uri,Kloner Robert A
Journal of the American College of Cardiology
Heart failure (HF) is a systemic illness with grave implications for bodily functions. The brain, among other vital organs, often suffers insults as a result of HF, and both anatomic and functional brain abnormalities were found in the HF population. This injury was demonstrated across a wide range of clinical conditions and cardiac functions and was shown to affect patients' outcomes. Although reduced cardiac output and high burden of cardiovascular risk factors are the prevailing explanations for these findings, there are data showing the involvement of neurohormonal, nutritional, and inflammatory mechanisms in this complex process. Here, the authors review the suggested pathophysiology behind brain injury in HF, describe its effect on patients' outcomes, offer a diagnostic approach, and discuss possible therapeutic options.
10.1016/j.jacc.2017.01.022