Features of cognitive disorders in patients with arterial hypertension of low cardiovascular risk.
Open Access
- 18 June 2019
- journal article
- research article
- Published by Dnipro State Medical University in Medicni perspektivi
- Vol. 24 (2), 65-72
- https://doi.org/10.26641/2307-0404.2019.2.170152
Abstract
By the WHO data,Ukraineis country number1 inEuropeand number2 inthe world according to the cardiovascular mortality rate. In the structure of the prevalence of cardiovascular diseases in Ukraine, the percentage of persons of working age with arterial hypertension is 36.7%. The improvement of the prognosis of patients with arterial hypertension depends not only on long-term effective control of blood pressure, but the diagnosis and initiation of therapy at the initial stage of the development of the disease, when the target organs have not yet undergone hypertensive damage is also an important condition. The article presents the results of neuropsychological examination of 509 outpatients with a controlled second stage arterial hypertension, with an integrated assessment of cognitive functions using the Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MCA) methods. It has been established that even in patients with controlled arterial hypertension stage II with a low cardiovascular risk, by SCORE scale cognitive disorders were revealed in 32,2%. The peculiarities of the development of cognitive disorders in arterial hypertension in connection with the history and course of the disease are analyzed. The majority of patients with hypertension have an increased level of anxiety, especially personality, and this is not due to the presence or absence of cognitive disorders. In patients with hypertension and cognitive disorders, on the basis of testing data by the SF-36 scale, there was a significant (p<0.001) decrease in quality of life on all scales as compared with healthy ones on average by 24.5-66.0 points.Keywords
This publication has 15 references indexed in Scilit:
- 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice GuidelinesHypertension, 2018
- Impact of Hypertension on Cognitive Function: A Scientific Statement From the American Heart AssociationHypertension, 2016
- Global Disparities of Hypertension Prevalence and ControlJournal of the American College of Cardiology, 2016
- Management of High Blood Pressure in Intracerebral HaemorrhageUpdates in Hypertension and Cardiovascular Protection, 2016
- Blood Pressure and Risk of Vascular DementiaStroke, 2016
- Reducing Cardiovascular Mortality Through Prevention and Management of Raised Blood Pressure: A World Heart Federation RoadmapCVD Prevention and Control, 2015
- Vascular contributions to cognitive impairment and dementia including Alzheimer's diseaseAlzheimer's & Dementia, 2014
- World Medical Association Declaration of HelsinkiJAMA, 2013
- High Blood Pressure, Hypertension, and High Pulse Pressure Are Associated with Poorer Cognitive Function in Persons Aged 60 and Older: The Third National Health and Nutrition Examination SurveyJournal of the American Geriatrics Society, 2008
- Simplifying Detection of Cognitive Impairment: Comparison of the Mini‐Cog and Mini‐Mental State Examination in a Multiethnic SampleJournal of the American Geriatrics Society, 2005