We investigated the relationship between lifestyle and cognitive function in elderly subjects who had their checkups at a memory clinic. The 136 elderly study subjects included 51 with Alzheimer’s disease, 22 with vascular dementia, 23 with frontotemporal dementia, 25 with mild cognitive impairment, and 15 healthy control. The patients’ lifestyles were assessed using the Frenchay activities index (FAI), and their cognitive functions were assessed by neuropsychological tests, such as the mini-mental status examination and the frontal assessment battery (FAB). The FAI score was lower in the demented patients than in the control subjects. Strong correlations were observed between the FAI scores and the scores in the neuropsychological tests. The FAI scores did not correlate with the educational level or the duration of disease. The fi ndings from the stepwise regression analysis indicated that the FAB score, the number of family members, gender, and age were factors independently affecting the FAI score. The results indicated that the lifestyles of the elderly people might be affected by not only their age and family organization but also their cognitive function. We concluded that cognitive function could play a role in the lifestyle of elderly people.

Objective: Few cases of Takotsubo cardiomyopathy with apical hypertrophic cardiomyopathy (APH)-like morphological changes during the recovery process have been reported.Patient: A 56-year-old woman diagnosed with Takotsubo cardiomyopathy showed a morphology similar to that of APH during recovery. We examined this patient using 2D speckle-tracking echocardiography based on the method used for hypertrophic cardiomyopathy, which suggested that the circumferential strain (CS) of the middle wall indicated myocardial function of the left ventricle, and the CS of the inner wall was associated with left ventricular chamber function.Results: We measured the CS of the endocardial, middle, and epicardial layers and found that the apical inner layer CS (CSinner), middle layer CS, and outer layer CS were all decreased at the onset. CSinner showed a strong tendency to recover on echocardiography performed when APH-like morphology was observed.Conclusion: The morphology of the apex in our case likely contributed to the maintenance of chamber function.