Literature DB >> 16857296

White matter grade and ventricular volume on brain MRI as markers of longevity in the cardiovascular health study.

Lewis H Kuller1, Alice M Arnold, W T Longstreth, Teri A Manolio, Daniel H O'Leary, Gregory L Burke, Linda P Fried, Anne B Newman.   

Abstract

High white matter grade (WMG) on magnetic resonance imaging (MRI) is a risk factor for dementia, stroke and disability. Higher ventricular size is a marker of brain "atrophy." In the Cardiovascular Health Study (CHS) (n=3245) mean age 75 years, 50% black and 40% men, we evaluated WM and ventricular grade (VG), total, cardiovascular and noncardiovascular mortality and longevity before and after adjusting for numerous determinants of longevity over an approximate 10-12 years of follow-up. A low WMG and VG was a marker for low total, cardiovascular and noncardiovascular mortality and for increased longevity over 10+ years of follow-up. We estimated that a 75-year-old with WMG below median would have about a 5-6 years greater longevity and for VG about 3 years, than above the median even after adjustment for numerous risk factors. Low WMG and VG on MRI is a powerful determinant of long-term survival among older individuals.

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Year:  2006        PMID: 16857296     DOI: 10.1016/j.neurobiolaging.2006.06.010

Source DB:  PubMed          Journal:  Neurobiol Aging        ISSN: 0197-4580            Impact factor:   4.673


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