Vascular Cognitive Impairment and Dementia: JACC Scientific Expert Panel. Review uri icon

Overview

abstract

  • Cognitive impairment associated with aging has emerged as one of the major public health challenges of our time. Although Alzheimer's disease is the leading cause of clinically diagnosed dementia in Western countries, cognitive impairment of vascular etiology is the second most common cause and may be the predominant one in East Asia. Furthermore, alterations of the large and small cerebral vasculature, including those affecting the microcirculation of the subcortical white matter, are key contributors to the clinical expression of cognitive dysfunction caused by other pathologies, including Alzheimer's disease. This scientific expert panel provides a critical appraisal of the epidemiology, pathobiology, neuropathology, and neuroimaging of vascular cognitive impairment and dementia, and of current diagnostic and therapeutic approaches. Unresolved issues are also examined to shed light on new basic and clinical research avenues that may lead to mitigating one of the most devastating human conditions.

publication date

  • July 2, 2019

Research

keywords

  • Cognitive Dysfunction
  • Dementia, Vascular

Identity

PubMed Central ID

  • PMC6719789

Scopus Document Identifier

  • 85067301636

Digital Object Identifier (DOI)

  • 10.1016/j.jacc.2019.04.034

PubMed ID

  • 31248555

Additional Document Info

volume

  • 73

issue

  • 25