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Doctors Discover Alarming Link Between Heart Health and Cognitive Decline: "Should be a Warning"

Heart failure currently affects approximately 6.7 million Americans, and that number is expected to rise to 8.7 million by 2030.

closeup of a doctor listening to a patient's heartbeat

Heart failure—a condition in which the heart is not pumping as well as it should be, according to the American Heart Association (AHA)—currently affects approximately 6.7 million Americans, and that number is expected to rise to 8.7 million by 2030. The condition can lead to difficulty breathing, fatigue, or the more serious congestive heart failure. And doctors have now discovered that heart failure can also increase one's risk of cognitive decline.

RELATED: Doctors Sound the Alarm on Common Heart Conditions: "Like a Ticking Time Bomb."


What is heart failure?

Heart failure is a very misunderstood condition since it does not mean your heart has stopped working. Instead, it describes the state of a heart that cannot handle its workload and isn't pumping properly.

"Your body depends on the heart’s pumping action to deliver oxygen- and nutrient-rich blood to the body’s cells," explains the AHA. "With heart failure, the weakened heart can’t supply the cells with enough blood. This results in fatigue and shortness of breath, and some people experience excessive coughing. Everyday activities such as walking, climbing stairs or carrying groceries can become very difficult."

Underlying causes commonly include high blood pressure, obesity, and Type 2 diabetes. Though there is usually no cure for heart failure, it can be managed with medications and a healthy lifestyle.

RELATED: Experts Warn This Common Medication May Be Linked to Dementia Risk.

How does heart failure affect brain health?

A new research article published in the journal Circulation: Heart Failure analyzed the cognitive health of nearly 3,000 U.S. adults in studies conducted between 1971 and 2019. Those included had no history of heart failure, stroke, or dementia at the onset of the study period.

According to a press release, researchers concluded that those who developed heart failure exhibited the following:

  • A decline in global cognition (a series of factors that includes attention and problem-solving) nearly six years earlier than people without heart failure
  • Diminished executive functioning four-and-a-half years earlier
"Heart failure is a disease that never goes away and treating it relies heavily on a patient’s ability to follow specific instructions, monitor their symptoms and keep up with many different medications," said Supriya Shore, MD, first study author and clinical assistant professor of internal medicine-cardiology at the University of Michigan Medical School.
"Seeing this cognitive decline among patients, and how it worsens over time after a diagnosis of heart failure, should be a warning for providers to assess a patient’s cognitive ability early and factor it into the care plan," she continued.
Though the researchers agree that more research is needed to determine how heart failure is driving cognitive decline, previous studies have also looked at the connection.
"Heart failure may lead to brain injury in a number of ways," explained the AHA when responding to one of these studies. "Reduced blood flow can cause mini-strokes or silent brain injuries. Chronic inflammation and neurohormonal activation, which work to maintain the brain’s environment, may also contribute to brain damage."
"Obesity and sleep-disordered breathing are common conditions among people with heart failure and are also associated with cognitive dysfunction," the AHA added. "Brain changes, such as gray matter volume reduction and/or white matter damage, are common in heart failure and contribute to reduced brain function."

We offer the most up-to-date information from top experts, new research, and health agencies, but our content is not meant to be a substitute for professional guidance. When it comes to the medication you're taking or any other health questions you have, always consult your healthcare provider directly.

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Sources referenced in this article

AHA | What is Heart Failure?

Journal of Cardiac Failure | Heart Failure Epidemiology and Outcomes Statistics, An Updated 2024 Report from the Heart Failure Society of America

Circulation: Heart Failure | Trajectory of Cognitive Function After Incident Heart Failure

AHA | Heart failure, atrial fibrillation & coronary heart disease linked to cognitive impairment