Features of cognitive disorders in patients with arterial hypertension of low cardiovascular risk
Journal Title: Медичні перспективи - Year 2019, Vol 24, Issue 2
Abstract
By the WHO data, Ukraine is country number 1 in Europe and number 2 in the 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.
Authors and Affiliations
V. Yu. Krotova
Keywords
Related Articles
- EP ID EP660968
- DOI 10.26641/2307-0404.2019.2.170152
- Views 72
- Downloads 0
Clinical and laboratory efficacy of systemic enzyme therapy in patients with chronic generalized periodontitis complicated by purulent foci in soft periodontal tissues
The article presents the results of complex treatment of 98 patients with chronic generalized periodontitis with purulent foci in periodontal tissues by using standard complex treatment in combination with systemic enzym...
Practice of implementation of innovative means of teaching in forming of preventive thinking in students of higher medical educational establisments
The problem of construction of a holistic methodological system of training future doctors considered in the article, is impossible outside the context of integration processes taking place in modern education and needs...
Активная профилактика послеродового эндометрита у беременных с анаэробным дисбиозом и планируемым кесаревым сечением
У структурі гнійно-запальних захворювань післяродовий ендометрит (ПЕ) зберігає своє лідируюче становище. Вірогідність роз¬витку післяпологового ендометриту після кесарева розтину зростає в 5-10 разів порівняно з мимовіль...
Мультигенні форми тромбофілії при звичному невиношуванні плода
Невынашивание беременности является актуальной проблемой современного акушерства. Частота невынашивания беременности составляет 10-25% всех беременностей, а привычное невынашивание беременности наблюдается у 5%. Привычно...
Comparative characteristics of liberal and restrictive fluid resuscitation in multiple trauma
The aim of the study was a comparative analysis of components in liberal and restrictive fluid resuscitation and their effectiveness. 90 patients with multiple trauma divided into two groups, depending on the fluid resus...