Front Line Assessment, Diagnosis, and Referral for Alzheimer Disease

EP. 1: Alzheimer Disease Pathophysiology and Treatments
ByGayatri Devi, MD, MS, FACP, FAAN,Ronald Primas, MD, FACP, FACPM, DABIHM, CTH Panelists discuss how advances in diagnostics and the emergence of disease-modifying therapies have transformed Alzheimer care by enabling earlier, more accurate diagnosis and proactive treatment strategies that improve both clinical outcomes and patients’ quality of life.

EP. 2: Risk Factors For Alzheimer Disease
ByGayatri Devi, MD, MS, FACP, FAAN,Ronald Primas, MD, FACP, FACPM, DABIHM, CTH Panelists discuss how age remains the primary risk factor for Alzheimer dementia, but modifiable lifestyle and cardiovascular factors—such as social engagement, sleep, diet, exercise, and blood pressure—play a crucial role in influencing disease onset and progression, emphasizing the importance of early detection, proactive management, and holistic care strategies.

EP. 3: Diagnosing and Staging Alzheimer Disease in Frontline Care Settings
ByGayatri Devi, MD, MS, FACP, FAAN,Ronald Primas, MD, FACP, FACPM, DABIHM, CTH Panelists discuss how frontline physicians evaluate patients for Alzheimer by balancing observable signs, cognitive testing, and advanced imaging, recognizing the disease’s nuanced progression and individual variability, which underscores the importance of personalized assessments for early diagnosis and tailored care.

EP. 4: Importance of Biomarkers for Diagnosing and Staging Alzheimer Disease
ByGayatri Devi, MD, MS, FACP, FAAN,Ronald Primas, MD, FACP, FACPM, DABIHM, CTH Panelists discuss how biomarker testing and advanced imaging—such as MRI, PET scans, blood-based biomarkers, and cerebrospinal fluid analysis—are crucial for accurately diagnosing and staging Alzheimer disease, with an emphasis on personalized timing and integrating genetic, lifestyle, and vascular risk factors to enable early intervention and tailored prevention strategies.

EP. 5: Early Identification and Diagnosis of Alzheimer Disease
ByGayatri Devi, MD, MS, FACP, FAAN,Ronald Primas, MD, FACP, FACPM, DABIHM, CTH Panelists discuss how primary care physicians rely on clinical observations, history-taking, and cognitive assessments—despite time and training limitations—to diagnose Alzheimer disease early, emphasizing the critical need for timely detection to enable effective interventions, lifestyle modifications, and to reduce long-term societal and health care burdens.

EP. 6: Leveraging Patient Trust to Improve Outcomes in Alzheimer Disease
ByGayatri Devi, MD, MS, FACP, FAAN,Ronald Primas, MD, FACP, FACPM, DABIHM, CTH Panelists discuss how long-standing relationships between clinicians and patients are essential for early detection of cognitive decline, as trust and familiarity enable providers to notice subtle changes, facilitate open conversations, and collaboratively implement early interventions that help preserve independence amid an aging population.

EP. 7: Referring Patients with Alzheimer Disease to Neurologists and Improving Patient Communication
ByGayatri Devi, MD, MS, FACP, FAAN,Ronald Primas, MD, FACP, FACPM, DABIHM, CTH Panelists discuss how frontline clinicians tend to refer patients promptly to specialists when early cognitive signs or family history suggest risk, emphasizing the importance of early intervention, clear communication, and addressing logistical barriers to ensure timely diagnosis and access to emerging treatments that can slow disease progression.

EP. 8: Treatment Options and Disease-Modifying Therapies in Alzheimer Disease
ByGayatri Devi, MD, MS, FACP, FAAN,Ronald Primas, MD, FACP, FACPM, DABIHM, CTH Panelists discuss how current Alzheimer treatments combine pharmacologic options like cholinesterase inhibitors, NMDA antagonists, and recently approved monoclonal antibodies with nonpharmacologic strategies such as lifestyle modifications, cognitive engagement, and managing comorbidities, all aiming to preserve quality of life, delay progression, and harness new therapies that are transforming the outlook for early diagnosis and proactive management.

EP. 9: Managing Amyloid-Related Imaging Abnormalities in Alzheimer Disease
ByGayatri Devi, MD, MS, FACP, FAAN,Ronald Primas, MD, FACP, FACPM, DABIHM, CTH Panelists discuss how amyloid-related imaging abnormalities, including brain swelling and bleeding, can occur in patients receiving monoclonal antibody therapies for Alzheimer disease, necessitating careful monitoring through MRI scans, dose adjustments, and supportive care to manage risks—particularly in individuals with genetic risk factors—while ongoing research seeks safer, more effective treatments and improved detection strategies.