Corder EH, Ervin JF, Lockhart E, Szymanski MH, Schmechel DE, Hulette CM. Cardiovascular damage in Alzheimer disease: autopsy findings from the Bryan ADRC.
J Biomed Biotechnol 2006;
2005:189-97. [PMID:
16046825 PMCID:
PMC1184050 DOI:
10.1155/jbb.2005.189]
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Abstract
Autopsy information on cardiovascular damage was investigated for
pathologically confirmed Alzheimer disease (AD) patients (n = 84)
and non-AD control patients (n = 60). The 51 relevant items were
entered into a grade-of-membership model to describe vascular
damage in AD. Five latent groups were identified “I: early-onset
AD,” “II: controls, cancer,” “III: controls, extensive
atherosclerosis,” “IV: late-onset AD, male,” and “V:
late-onset AD, female.” Expectedly, Groups IV and V had elevated
APOE ϵ4 frequency. Unexpectedly, there was
limited atherosclerosis and frequent myocardial valve and
ventricular damage. The findings do not indicate a strong
relationship between atherosclerosis and AD, although both are
associated with the APOE ϵ4. Instead, autopsy
findings of extensive atherosclerosis were associated with
possible, not probable or definite AD, and premature death. They
are consistent with the hypothesis that brain hypoperfusion
contributes to dementia, possibly to AD pathogenesis, and raise
the possibility that the APOE allele ϵ4
contributes directly to heart valve and myocardial damage.
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