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Abstract #2586

A Pilot Study of Early Cognitive And Brain Imaging Changes Associated With Risk Factors for Cardiovascular Disease

Victoria X Wang 1 , Cheuk Tang 2 , Maryann McLaughlin 3 , Edmund Wong 1 , Johnny C Ng 1 , Lazar Fleysher 1 , Fayad A Zahi 4 , Maceda Cynara 5 , Heather N Beebe 6 , and Joseph Friedman 7

1 Radiology, Mount Sinai School of Medicine, New York, NY, United States, 2 Radiology & Psychiatry, Mount Sinai School of Medicine, New York, NY, United States, 3 Cardiology & Medicine, Mount Sinai School of Medicine, New York, NY, United States, 4 Radiology & Cardiology, Mount Sinai School of Medicine, New York, NY, United States, 5 Cardiology, Mount Sinai School of Medicine, New York, NY, United States, 6 Mount Sinai School of Medicine, New York, NY, United States, 7 Psychiatry, Mount Sinai School of Medicine, New York, NY, United States

Early cognitive impairments associated with CV disease risk factors are subclinical, and are infrequently identified during routine medical care. Such mild cognitive impairments, even if not immediately obvious to the physician, may impact preventive care, medication adherence, clinical follow-up, and quality of life. Cognitive impairment in individuals at risk for vascular pathology, but who have not suffered clinical stroke, suggests the presence of a cognitive prodrome for vascular neurodegenerative disease. This cognitive impairment likely reflects subclinical cerebral disease. In this study we aim to investigate the severity of cognitive changes using fMRI and DTI in otherwise asymptomatic persons (no end organ damage) carrying CV disease risk factors such as hypertension, diabetes mellitus, hyperlipidemia, elevated BMI and smoking.

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