{"doi":"10.1002/alz.13006","title":"Cognitive trajectories and incident dementia after a cardiovascular event in older adults","abstract":"INTRODUCTION: Cardiovascular disease (CVD) is a recognized risk factor for dementia. Here we determined the extent to which an incident CVD event modifies the trajectory of cognitive function and risk of dementia. METHODS: 19,114 adults (65+) without CVD or dementia were followed prospectively over 9 years. Incident CVD (fatal coronary heart disease, nonfatal myocardial infarction [MI], stroke, hospitalization for heart failure) and dementia (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria) were adjudicated by experts. RESULTS: Nine hundred twenty-two participants had incident CVD, and 44 developed dementia after CVD (4.9% vs. 4.4% for participants without CVD). Following a CVD event there was a short-term drop in processing speed (-1.97, 95% confidence interval [CI]: -2.57 to -1.41), but there was no significant association with longer-term processing speed. In contrast, faster declines in trajectories of global function (-0.56, 95% CI: -0.76 to -0.36), episodic memory (-0.10, 95% CI: -0.16 to -0.04), and verbal fluency (-0.19, 95% CI: -0.30 to -0.01) were observed. DISCUSSION: Findings highlight the importance of monitoring cognition after a CVD event.","journal":"Alzheimer s & Dementia","year":2023,"id":344028,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":13,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9391,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1082022,"name":"Ingrid Hopper","orcid":"0000-0002-8805-370X","position":1,"is_corresponding":false},{"id":264293,"name":"Rory Wolfe","orcid":"0000-0002-2126-1045","position":2,"is_corresponding":false},{"id":400390,"name":"Galina Polekhina","orcid":"0000-0001-9535-9291","position":3,"is_corresponding":false},{"id":264296,"name":"Christopher M. Reid","orcid":"0000-0001-9173-3944","position":4,"is_corresponding":false},{"id":284811,"name":"Andrew Tonkin","orcid":"0000-0001-5291-0610","position":5,"is_corresponding":false},{"id":104607,"name":"Anne M. Murray","orcid":"0000-0002-2787-8433","position":6,"is_corresponding":false},{"id":284810,"name":"Raj C. Shah","orcid":"0000-0001-9706-9730","position":7,"is_corresponding":false},{"id":323248,"name":"Elsdon Storey","orcid":"0000-0001-5887-3267","position":8,"is_corresponding":false},{"id":264292,"name":"Robyn L. Woods","orcid":"0000-0003-1249-6149","position":9,"is_corresponding":false},{"id":264297,"name":"John J. McNeil","orcid":"0000-0002-1049-5129","position":10,"is_corresponding":false},{"id":351162,"name":"Suzanne G. Orchard","orcid":"0000-0003-0211-3183","position":11,"is_corresponding":false},{"id":264294,"name":"Mark Nelson","orcid":"0000-0001-9941-7161","position":12,"is_corresponding":false},{"id":104584,"name":"Claire J. Steves","orcid":"0000-0002-4910-0489","position":13,"is_corresponding":false},{"id":332013,"name":"Joanne Ryan","orcid":"0000-0002-7039-6325","position":14,"is_corresponding":false},{"id":1082021,"name":"Swarna Vishwanath","orcid":"0000-0003-1140-5997","position":0,"is_corresponding":true}],"reference_count":33,"raw_metadata":null,"created_at":"2026-07-19T01:11:26.556051Z","pmid":"36856152","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}