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Circulation: Cardiovascular Imaging EDITORIAL Mediation Effect of Left Ventricular Geometric Adaptation to Lifetime Blood Pressure on Cognitive Function in Middle-Age The Heart-Brain Connection (Partially) Explained See Article by Razavi et al Jonathan N. Bella , MD everal studies have shown that measures of cardiac target organ damage are 1–4 independent predictors of increased cardiovascular morbidity and mortality. SLeft ventricular (LV) hypertrophy was one of the first measures of cardiac tar - get organ damage to have been shown to predict adverse cardiac events in clinical 1,2 and population-based samples. Subsequently, other measures of cardiac target organ damage have been implicated in predicting adverse outcomes in clinical 3,4 and population-based populations. More recently, studies have indicated that LV hypertrophy is independently associated with impaired cognitive function and 5,6 7 dementia in older adults 60 years and older. The present study by Razavi et al extends these results by showing that LV geometric remodeling partially mediates the association between lifetime systolic blood pressure (BP) and cognitive func- tion in younger adults (mean age=48 years) without clinical dementia or cardio- 2.7 vascular disease. They found that for each g/m increase in LV mass index, there was an associated 0.03 standardized unit decrease
Circulation: Cardiovascular Imaging – Wolters Kluwer Health
Published: Aug 1, 2020
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