About this trial
This study aims to understand how memory and thinking abilities (cognition) are affected in patients with heart conditions, and to find out if early detection and interventions can improve health outcomes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 21 years.
Able and willing (or via legally acceptable representative, LAR, where appropriate) to provide informed consent.
Meets main study criteria.
Mild cognitive impairment defined by: (i) Montreal cognitive assessment (MoCA) <26 but ≥21; and/or (ii) impairment in at least one domain on standardized neuropsychological testing and/or (iii) MMSE <28 but ≥24.
Disqualifiers
Neurodegenerative disorders or major psychiatric illnesses that substantially impair cognition.
Terminal illness or advanced major organ disease limiting participation with expected survival of less than 1 year.
Severe depression, anxiety, or stress where participation may be inappropriate.
Any condition which, in the investigator's opinion, would compromise safety or study integrity.
Trial design
Parallel
Treatments tested in this trial
Structured cognitive and cardiovascular interventions
Other interventionThe intervention arm (RCT R1 cohort) will receive a 24-week multi-component program combining cardiac rehabilitation instruction, cognitive stimulation via a hybrid hospital and home-based telehealth platform.
Treatment groups
Trial outcomes
Primary outcomes
Primary RCT Outcome
Proportion of participants demonstrating clinically meaningful improvement in cognitive function at 24 weeks, defined as a pre-specified increase in standardized cognitive test scores.
Sponsors and contacts
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