Do Alzheimer's disease (AD) and subcortical ischemic vascular dementia (SIVD) progress differently?

Abstract:

:Our study aimed to compare cognitive status and declines in AD with/without small vessel disease (SVD) and SIVD at baseline and 1-year follow-up. Patients with Alzheimer's disease without small vessel disease (AD(-)SVD) (n=148), Alzheimer's disease with small vessel disease (AD(+)SVD) (n=94) and SIVD (n=60) were recruited from database of multiple centers in Korea. Basic demographics and detailed neuropsychological results were compared. AD, regardless of SVD, showed worse memory and better executive function than SIVD at baseline. Mini-Mental State Examination scores and visual memory function declined more in AD than those in SIVD whereas Barthel Activities of Daily Living (B-ADL) scores declined more in SIVD. AD showed different patterns of cognitive impairment compared with SIVD. After 1 year, AD showed more rapid cognitive decline in some domains. Further investigations with longer follow-up duration may be needed to confirm the cumulative effects of SVD in AD and different patterns of decline between AD and SIVD.

journal_name

Arch Gerontol Geriatr

authors

Hong YJ,Yoon B,Shim YS,Han IW,Han SH,Park KH,Choi SH,Ku BD,Yang DW

doi

10.1016/j.archger.2013.11.005

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

415-9

issue

3

eissn

0167-4943

issn

1872-6976

pii

S0167-4943(13)00175-1

journal_volume

58

pub_type

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