PMID- 12607168 OWN - NLM STAT- MEDLINE DCOM- 20030520 LR - 20220408 IS - 1380-3395 (Print) IS - 1380-3395 (Linking) VI - 25 IP - 1 DP - 2003 Feb TI - Verbal memory impairment in congestive heart failure. PG - 14-23 AB - Cognitive dysfunction, mainly memory impairment, characterizes congestive heart failure (CHF). Aim of this study was to verify whether: (1) CHF has differential effects on primary and secondary memory; (2) memory dysfunction can be diagnosed by a screening instrument. In a multicenter study we enrolled 369 patients with stable CHF who underwent a structured assessment of verbal memory mechanisms and selected cognitive functions. Performance on some verbal memory indexes (Recency, Rey's immediate and delayed recall, Learning efficiency) progressively decreased from II to IV New York Heart Association (NYHA) class. Rate of forgetting was uniformly high across NYHA classes II-IV. Verbal memory indexes were highly correlated with most nonverbal scores. The Mini Mental State Examination (MMSE) had poor sensitivity and specificity versus primary or secondary verbal memory dysfunction. Therefore, a deficit of both primary and secondary memory is relatively common in CHF but cannot be accurately recognized by a screening neuropsychological test. FAU - Antonelli Incalzi, R AU - Antonelli Incalzi R AD - Institute of Internal Medicine, Policlinico Gemelli, School of Medicine, Rome, Italy. FAU - Trojano, L AU - Trojano L FAU - Acanfora, D AU - Acanfora D FAU - Crisci, C AU - Crisci C FAU - Tarantino, F AU - Tarantino F FAU - Abete, P AU - Abete P FAU - Rengo, F AU - Rengo F CN - CHF Italian Study Investigators LA - eng PT - Comparative Study PT - Journal Article PT - Multicenter Study PL - England TA - J Clin Exp Neuropsychol JT - Journal of clinical and experimental neuropsychology JID - 8502170 SB - IM MH - Activities of Daily Living MH - Aged MH - Aged, 80 and over MH - Analysis of Variance MH - Cognition MH - Disease Progression MH - Female MH - Heart Failure/*complications/psychology MH - Humans MH - Male MH - Memory Disorders/*etiology/physiopathology MH - Mental Recall MH - Mental Status Schedule/statistics & numerical data MH - ROC Curve MH - Verbal Learning/*physiology MH - Word Association Tests EDAT- 2003/02/28 04:00 MHDA- 2003/05/21 05:00 CRDT- 2003/02/28 04:00 PHST- 2003/02/28 04:00 [pubmed] PHST- 2003/05/21 05:00 [medline] PHST- 2003/02/28 04:00 [entrez] AID - 10.1076/jcen.25.1.14.13635 [doi] PST - ppublish SO - J Clin Exp Neuropsychol. 2003 Feb;25(1):14-23. doi: 10.1076/jcen.25.1.14.13635.