長尾　充展    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Associate Professor
Language	English
Title	The impact of Brain atrophy in the patient with young patients with severe heart failure
Conference	The 21st Annual Scientific Meeting of the Japanese Heart Failure Society
Promoters	Japanese Heart Failure Society
Conference Type	Nationwide Conferences
Presentation Type	Speech
Lecture Type	General
Publisher and common publisher	◎KAWAMOTO Takanori, SEKIGUCHI Haruki, TSUKAMOTO Kei, SEKIGUCHI Naoki, SUZUKI Atsushi, SUZUKI Tsuyoshi, FUKUSHIMA Kenji, NAGAO Michinobu, NISHIMURA Katsuji, SHIGA Tsuyoshi, HAGIWARA Nobuhisa
Date	2017/10/12
Venue (city and name of the country)	Akita, JAPAN
Society abstract	Journal of Cardiac Failure 23(10),S16-S17 2017
Summary	Introduction: Heart failure (HF) influence several important organs, these are known as cardiorenal syndrome, cardiohepatic syndrome. Recently, HF is recognized the risk factor for cognitive impairment and associated with poorer cognitive performance. However, there are no report mentioned the relationship between brain atrophy and left ventricular ejection fraction (LVEF) in young patient with severe HF. Methods: A total 165 patients with severe HF such as the candidate of heart transplantation needed a consultation Liaison Psychiatry form 2009 to 2014. We analyzed 32 patients aged under 55 years old without past history of cerebral artery disease. We evaluated the brain atrophy using head computed tomography (CT) data by AZER VitualPlace and compared between severely reduced LVEF group; LVEF ≦ 30% and moderately reduced LVEF group;LVEF>30%. Results: The mean LVEF in severely reduced LVEF group (N = 22) was 21.7 ± 5.9% and those in moderately reduced LVEF group (N = 10) was 42.7 ± 9.1%. There are no difference in age, NYHA class, BNP, and renal function in both group. There are no relationship between the brain atrophy area and BNP. However, the brain atrophy were significantly bigger in severely reduced LVEF group (mean 13.0% [10.6,13.7]) than those of moderately reduced LVEF group (mean 10.8% [5.1,12.5]) (P = .022). Conclusions: This is a first report to evaluate the brain atrophy area by CT in young sever heart failure patients.