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Opinion: What it’s like to live with cognitively unimpaired Alzheimer’s disease

By · Via STAT Health · Published by Everything Blog

In short

Penn Memory Center research demonstrates that individuals diagnosed with pre-clinical Alzheimer’s based on elevated amyloid PET scans experience a profound shift in how they live. While free from mild cognitive impairment or dementia, these individuals navigate altered social dynamics and constantly scrutinize routine memory slips. Ongoing clinical trials evaluating anti-amyloid therapies could soon accelerate dementia care into this data-driven framework.

Key points

  • Receiving biomarker results changes how asymptomatic individuals interpret everyday memor…: Receiving biomarker results changes how asymptomatic individuals interpret everyday memory lapses and plan their futures.
  • Dementia care is moving away from traditional bedside medicine toward desktop medicine de…: Dementia care is moving away from traditional bedside medicine toward desktop medicine defined by numerical cutoffs.
  • Intervening based on actuarial disease risk mirrors standard management strategies used f…: Intervening based on actuarial disease risk mirrors standard management strategies used for conditions like osteoporosis and hypertension.

Sources checked by our analysis pipeline: 1

What is it like to have asymptomatic Alzheimer’s disease?

The answer’s obvious, isn’t it? It is like nothing. It’s a silly question, really. How could living without symptoms — the vexing troubles with concentration, word finding, recalling new facts, the loss of a mental map — be an experience of something?

Like most short and simple answers, particularly when the subject is Alzheimer’s, the obvious answer’s wrong.

For several years I’ve studied the experiences of people living with what someday may be called asymptomatic or cognitively unimpaired Alzheimer’s disease. Much of this work involves talking to people who have neither dementia nor mild cognitive impairment (MCI), but they do have evidence of Alzheimer’s disease pathology. I focused on people who learned their amyloid PET scan shows “elevated amyloid.” My research colleagues call them “biomarker positive” and categorize them as having “pre-clinical Alzheimer’s disease.”

I’m not ready to diagnose and label them as patients. Not quite because I’m waiting on the results of my colleagues’ studies, whose results could both validate this new stage of Alzheimer’s disease and discover a treatment…

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