THE IMPACT OF COMORBIDITY ON COGNITIVE PARAMETERS AFTER ISCHEMIC STROKE
Journal Title: Journal of IMAB - Annual Proceeding (Scientific Papers) - Year 2012, Vol 18, Issue 3
Abstract
Objective: The aim of our study is to examine the impact of comorbidity on cognitive parameters after the first ever ischemic stroke. Material and methods: We examined 112 patients (aged 46 to 84 (66.67± 5.96), 69 males and 43 females) with first ever ischemic stroke. For cognitive assessment we used Mini Mental State Examination (MMSE), 10 word test (for short term memory and delayed recall), Isaack’s test for verbal fluency (VF), Geriatric depression scale (GDS), Hamilton depression scale (HDS), Blessed dementia information memory concentration test (revised, BDIMCT), Benton Visual Retention test (A,E; BVRT) – number of corrects and number of errors and Wiskonsin Card Sorting Test (number of errors, WCST). The patients were examined on two step model. At acute stage, after collecting medical history, somatic and neurological examinations, MMSE, 10 words test and HDS were applied. At subacute stroke stage (90±5 days after first stroke symptoms), all cognitive tests were used. „STATGRAPHICS Plus 5.0 (free version)” was used for statistical analysis. Results: Chronic ischemic heart disease and chronic obstructive pulmonary disease are the most important additional risk factors for cognitive decline. Thyroid pathology, renal failure and anemia are independently associated with poststroke depression. Conclusions: On the basis of these data we can conclude that vascular risk factors are independently associated with cognitive and emotional changes after stroke and their effects should be assessed and taken into account for subsequent treatment of stroke survivors.
Authors and Affiliations
Mirena Valkova, Boyko Stamenov, Dora Peychinska
Keywords
Related Articles
- EP ID EP146708
- DOI 10.5272/jimab.2012183.298
- Views 113
- Downloads 0
OUR EXPERIENCE WITH PEMETREXED/ CISPLATIN AS FIRST LINE CHEMOTHERAPY IN PATIENTS WITH ADVANCED NON- SQUAMOUS NON- SMALL CELL LUNG CANCER
Objective: Lung cancer Pemetrexed is novel multitargeted antifolate which inhibits three key enzymes in the folate metabolic pathwaw. Methods: From May 2010 to March 2012 twenty two consecutive patients with morphologic...
CIVIL PROTECTION MODERN ASPECTS IN CASE OF DISASTERS – BULGARIA
This article aims on the modern aspects of Civil Protection in Bulgaria by thorough research of the management and the organization of its activities. We used descriptive analysis and summary of scientific publications a...
BOND STRENGTH OF SELF-ETCH ADHESIVES WITH PRIMARY AND PERMANENT TEETH DENTIN – IN VITRO STUDY.
Objective: The aim of this study was to compare dentin bond strength of primary and permanent teeth with self-etching adhesive systems. Methods: On 40 intact specimens of primary and permanent teeth was created f...
SUBJECTIVE ACCEPTANCE OF PEDIATRIC PATIENTS DURING CAVITY PREPARATION WITH Er:YAG LASER AND CONVENTIONAL ROTARY INSTRUMENTS.
Aim: The aim of the present study is to evaluate and compare the subjective acceptance in children during hard dental tissue therapy using Er:YAG laser 2940nm and conventional rotary instruments. Methods and mate...
TREATMENT OF CONDYLOMATA ACUMINATA AND BOWENOID PAPULOSIS WITH CO2 LASER AND IMIQUIMOD.
Some of the most common manifestation of Human Papilloma Virus (HPV) infection in venereology are Condylomata acuminata and Bowenoid Papulosis. These diseases are often difficult to diagnose by dermatologists, obstetric...