Cerebral Hypoperfusion, Cognitive Impairment, Dilated Cardiomyopathy, Heart Failure, Perfusion
Conditions
Brief summary
The investigators will evaluate the determinants of cerebral impairment in patients with non-ischemic heart failure compared to controls, and its relation to cognitive function. They hypothesize that patients with heart failure have impaired brain perfusion and hemodynamic factors are associated with cognitive dysfunction.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Control Group: * Healthy subject, as assessed by clinician * Age matched with patient group
Exclusion criteria
Control Group: * Age \< 18 years * Carotid artery or intracranial disease, as assessed by echo-doppler (significant stenosis \> 50%) * Unable or unwilling to undergo MRI * The presence of ferromagnetic material in or on the body, for example tattoos with ferrous ink or pacemakers or cardiac defibrillators. Also the presence of pregnancy and claustrophobia. * History of cognitive impairment * Unable to understand procedures * Unable or unwilling to provide informed consent Inclusion Criteria DCM-group: * Heart failure due to DCM * 15 patients with NYHA class II * 15 patients with NYHA class III/IV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Determinants of cerebral impairment | Baseline | Determinants of cerebral impairment in patients with heart failure compared to controls, where cerebral impairment is defined as decreased cognitive function and cerebral hypoperfusion |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Relation of cognitive impairment with local perfusion | Baseline | Relation of cognitive impairment with perfusion of carotid artery territory and basilar artery territory |
| Relation of cognitive impairment with the severity of heart failure | Baseline | Relation of cognitive impairment with the severity of heart failure |
| Relation of cognitive impairment with cardiac output | Baseline | Relation of cognitive impairment with cardiac output |
| Prevalence of cognitive impairment | Baseline | Prevalence of cognitive impairment in patients with heart failure |
| Relation of cognitive impairment with the decrease in cerebral perfusion | Baseline | Relation of cognitive impairment with the decrease in cerebral perfusion |
| The difference of cognitive domains in above relations | Baseline | The difference of cognitive domains in above relations |
| Relation of cognitive impairment with the severity of congestion | Baseline | Relation of cognitive impairment with the severity of congestion |
Countries
Netherlands