Samenvatting
OBJECTIVE: To examine the association between the APOE genotype and cardiovascular disease in Alzheimer's disease (AD) patients.
DESIGN: Case register study of 100 consecutive referrals to a Memory Clinic where type of dementia and cardiovascular comorbidity were diagnosed and APOE genotype was determined.
SETTING: The Memory Clinic, University Hospital Rotterdam Dijkzigt.
PARTICIPANTS: One hundred Memory Clinic patients, 59 to 91 years of age, who attended the Memory Clinic in the period between January 1994 and March 1996.
MEASUREMENTS: Relative risk of cardiovascular morbidity in probable AD, based on clinical and ECG findings.
RESULTS: The diagnosis of probable AD was more frequent in APOE*4 allele-carrying AD patients. When comparing homozygotes for APOE*4 with homozygotes for APOE*3, a nine-fold increase in prevalence of cardiac ischemia on ECG was found in the former. When grouping parameters of left ventricular dysfunction, the prevalence was 7.2 (95% confidence interval 1.2-42.6) times greater in probable Alzheimer patients with APOE4/4.
CONCLUSIONS: In patients with probable AD, APOE*4 is associated with cardiac disease indicative of left ventricular dysfunction.
| Originele taal-2 | English |
|---|---|
| Pagina's (van-tot) | 962-967 |
| Aantal pagina's | 6 |
| Tijdschrift | Journal of the American Geriatrics Society |
| Volume | 46 |
| Nummer van het tijdschrift | 8 |
| DOI's | |
| Status | Published - aug.-1998 |
| Extern gepubliceerd | Ja |
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