Archives of the Turkish Society of Cardiology
Treatment with enhanced external counterpulsation improves cognitive functions in chronic heart failure patients [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2013; 41(5): 418-428 | DOI: 10.5543/tkda.2013.24366

Treatment with enhanced external counterpulsation improves cognitive functions in chronic heart failure patients

Güliz Kozdağ1, Pervin İşeri2, Gökçen Gökçe2, Gökhan Ertaş3, Fatih Aygün4, Ayşe Kutlu2, Kathy Hebert5, Dilek Ural1
1Department of Cardiology, Kocaeli University Faculty of Medicine, Kocaeli
2Department of Neurology, Kocaeli University Faculty of Medicine, Kocaeli
3Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul
4Department of Cardiology, Niksar Government Hospital, Tokat
5Department of Cardiology, Miller School of Medicine, University of Miami, Miami, Florida, USA


OBJECTIVES
Chronic heart failure (CHF) has been associated with an increased risk of poorer cognitive performance in older adults. Reversibility of cognitive impairment after medical treatment has been reported, although the restorative effects of enhanced external counterpulsation (EECP) on cognitive performance have not been studied. We investigated the effect of EECP on cognitive functions in CHF patients.

STUDY DESIGN
Thirty-six individuals (mean age: 66±8 years) who were diagnosed with CHF and were New York Heart Association (NYHA) Class II-III and Canadian Cardiovascular Society (CCS) Class II-III participated in this study. Neuropsychological assessment was performed in these patients.

RESULTS
Patients in the EECP treatment group showed a statistically significant improvement in spontaneous naming (p=0.011) and forward row score of the attention subset among domains of cognition (p=0.020) and interference time of executive function (p=0.012).

CONCLUSION
Enhanced external counter pulsation resulted in improvement in all domains of cognitive functions except verbal and visual memory tests.

Keywords: Coronary artery disease, counterpulsation/methods, enhanced external counterpulsation, executive function; heart failure.

How to cite this article
Güliz Kozdağ, Pervin İşeri, Gökçen Gökçe, Gökhan Ertaş, Fatih Aygün, Ayşe Kutlu, Kathy Hebert, Dilek Ural. Treatment with enhanced external counterpulsation improves cognitive functions in chronic heart failure patients. Turk Kardiyol Dern Ars. 2013; 41(5): 418-428

Corresponding Author: Gökhan Ertaş, Türkiye
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