Sensitivity and specificity of 5 min cognitive screening tests in patients with acute coronary syndrome

Gallagher, Robyn; Ouyang, Menglu; Tofler, Geoffrey H.; Bauman, Adrian; Zhao, Emma; Weddell, Joseph; Naismith, Sharon L.

doi:10.1093/eurjcn/zvac026

Cited by 2 publications

(1 citation statement)

References 28 publications

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“…This study has an observational descriptive design and is a subcomponent of a larger study. 10,21 In this article, we report MCI and cognitive domain performance in the immediate post-ACS period, using 2 cognitive screening instruments. These data have not been published previously.…”

Section: Methodsmentioning

confidence: 99%

Age and Marital Status Predict Mild Cognitive Impairment During Acute Coronary Syndrome Admission

et al. 2022

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Background: Mild cognitive impairment (MCI) has been reported after acute coronary syndrome (ACS), but it is uncertain who is at risk, particularly during inpatient admission. Objective: In this study, we aimed to explore the prevalence and cognitive domains affected in MCI during ACS admission and determine factors that identify patients most at risk of MCI. Methods: Inpatients with ACS were consecutively recruited from 2 tertiary hospital cardiac wards and screened with the Montreal Cognitive Assessment and the Hopkins Verbal Learning Test. Screening included health literacy (Newest Vital Sign), depressive symptoms (Patient Health Questionnaire-9), and physical activity (Physical Activity Scale for the Elderly). Factors associated with MCI were determined using logistic regression. Results: Participants (n = 81) had a mean (SD) age of 63.5 (10.9) years, and 82.7% were male. In total, MCI was identified in 52.5%, 42.5% with 1 screen and 10% with both. Individually, the Montreal Cognitive Assessment identified MCI in 48.1%, and the Hopkins Verbal Learning Test identified MCI in 13.8%. In Montreal Cognitive Assessment screening, the cognitive domains in which participants most frequently did not achieve the maximum points available were delayed recall (81. 5%), visuospatial executive function (48.1%), and attention (30.9%). Accounting for education, depression, physical activity, and ACS diagnosis, the likelihood of an MCI positive screen increased by 11% per year of age (odds ratio, 1.11; 95% confidence interval, 1.04-1.18) and by 3.6 times for those who are unmarried/unpartnered (odds ratio, 3.61; 95% confidence interval, 1.09-11.89). Conclusion: An estimated half of patients with ACS screen positive for MCI during admission, with single and older patients most at risk. Multiple areas of thinking were affected with potential impact on capacity for learning heart disease management.

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Section: Methodsmentioning

confidence: 99%

Age and Marital Status Predict Mild Cognitive Impairment During Acute Coronary Syndrome Admission

et al. 2022

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Cognitive and physical fatigue—the experience and consequences of ‘brain fog’ after spontaneous coronary artery dissection: a qualitative study

Weddell,

Rogerson,

Gallagher

et al. 2024

European Journal of Cardiovascular Nursing

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Aims Brain fog and fatigue are common issues after acute coronary syndrome. However, little is known about the nature and impact of these experiences in spontaneous coronary artery dissection (SCAD) survivors. The aim of this study was to understand the experiences of brain fog and the coping strategies used after SCAD. Methods and results Participants were recruited from the Victor Chang Cardiac Research Institute Genetics Study database and considered eligible if their event occurred within 12 months. Seven semi-structured online focus groups were conducted between December and January 2021–22, with this study reporting findings related to brain fog and fatigue. Interviews were transcribed and thematically analysed using an iterative approach. Participants (n = 30) had a mean age of 52.2 (±9.5) and were mostly female (n = 27, 90%). The overarching theme of brain fog after SCAD included four main themes: how brain fog is experienced, perceived causes, impacts, and how people cope. Experiences included memory lapses, difficulty concentrating and impaired judgement, and perceived causes, including medication, fatigue and tiredness, and menopause and hormonal changes. Impacts of brain fog included rumination, changes in self-perception, disruption to hobbies/pastimes, and limitations at work. Coping mechanisms included setting reminders and expectations, being one's own advocate, lifestyle and self-determined medication adjustments, and support from peers. Conclusion Brain fog is experienced by SCAD survivors, and the impacts are varied and numerous, including the capacity to work. Spontaneous coronary artery dissection survivors reported difficulty understanding causes and found their own path to coping. Recommendations for clinicians are provided.

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Sensitivity and specificity of 5 min cognitive screening tests in patients with acute coronary syndrome

Cited by 2 publications

References 28 publications

Age and Marital Status Predict Mild Cognitive Impairment During Acute Coronary Syndrome Admission

Age and Marital Status Predict Mild Cognitive Impairment During Acute Coronary Syndrome Admission

Cognitive and physical fatigue—the experience and consequences of ‘brain fog’ after spontaneous coronary artery dissection: a qualitative study

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