Chinwe Ibeh, MD is an Assistant Professor of Neurology in the Division of Stroke and Cerebrovascular Disease at the Columbia University Department of Neurology. She received her medical degree from Drexel University College of Medicine, where she was inducted into the national Alpha Omega Alpha Medical Honor Society. Dr. Ibeh completed her internship in internal medicine and residency training in neurology at the University of Washington, serving as chief resident, followed by a two-year fellowship in neuroepidemiology and vascular neurology at New York-Presbyterian/Columbia University Irving Medical Center. Dr. Ibeh specializes in stroke and vascular diseases of the brain and nervous system, with research interests in the neurological manifestations of heart failure and left ventricular assist devices. Her pilot as a CIRAD/RCMAR scientist studies ADRD in connection with heart failure. While it is established that ethnic minorities have a higher heart failure prevalence and experience greater rates of secondary complications, including renal failure and liver dysfunction, differences in neurological outcomes remain under-investigated. Using data from cardiac MRI, brain MRI, neuropsychological assessments, and a multi-dimensional panel of social determinants of health (SDOH) indices, this pilot aims to 1) characterize the relationship between patterns of left ventricular dysfunction, cognitive dysfunction, and related neuroimaging markers and 2) assess the modifying effects of race/ethnicity and SDOH barriers on these relationships.