Cognitive disorders in patients with arterial hypertension in real medical practice.

Authors

  • T. A. Khomazyuk
  • V. Yu. Krotova
  • O. V. Sova
  • V. M. Yagolnik

DOI:

https://doi.org/10.26641/2307-0404.2015.2.45648

Keywords:

hypertension, cognitive function, cognitive disorders

Abstract

There was analyzed the extent and structure of cognitive disorders in outpatient conditions by the data of examination of 118 hypertension patients  stage II with arterial hypertension of 1-2 degrees, which were under the supervision of General Practitioners. Neuropsychological examination was carried out by MMSE (Mini-Mental State Examination) and FAB (Frontal Assessment Battery) scales, verbal memory was studied by the method of Luria, concentration and speed of sensorimotor reactions - by techniques of Schulte and Rybakov. It was found that 28.8% of patients had cognitive disorders, mainly of neurodynamic nature,  in particular,  the ability of concentration and speed of psychomotor reactions was reduced. The  presence of verbal memory disorders of varying severity associated with hypertension was revealed. Analysis of medical records testifies to the absence of attention to this issue in rehabilitation programs of hypertensive patients at the primary stage of care. The importance of timely diagnosis of cognitive disorders as a marker of early disorders of cerebral circulation and the functional state of the brain, the target organ in hypertension of 1-2 degrees was demonstrated.

Author Biographies

T. A. Khomazyuk

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Dzerzhinsky str., 9, Dnipropetrovsk, 49044, Ukraine

V. Yu. Krotova

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Dzerzhinsky str., 9, Dnipropetrovsk, 49044, Ukraine

O. V. Sova

SI «Ukrainian State Institute of Medical and Social Problems of Disability
Ministry of Health of Ukraine»
Radyansky lane, 1a, Dnipropetrovsk, 49027, Ukraine

V. M. Yagolnik

«Clinic of  medical academy Ministry of Health of Ukraine»
Pasteur str., 26, Dnipropetrovsk, 49000, Ukraine

References

Belovа AN. [Scales, tests and questionnaires in neurology and neurosurgery: guidance for doctors and researchers]. 2004;1:432. Russian. 2. Damulyna AI. [Clinico-neuroimaging comparison with vascular mild cognitive impairment]. Journal neuro¬logists them. BM Mankovskoho. 2014;2:63-67. Uk¬rainian. 3. Damulyn IV. [Mild cognitive impairment]. Con¬silium medicum. 2004;2:149-153. Russian. 4. Zakharov VV. [Cognitive impairments in neuro¬logical practice]. Difficult patient. 2005;5:15-18. Russian. 5. Kovalenko VN. [Regional medical and social prob¬lems of cardiovascular diseases. Dynamics and Ana¬lysis]. 2013;1:1-231. Ukrainian. 6. Lapach SN, Hubenko AV, Babich PN. [Statistical methods in biomedical research using Exel]. 2000;1:1-320. Ukrainian. 7. Netyazhenko VZ. [Hypertension. Updated and adapted clinical guidelines based on evidence]. 2012;1:1-196. Ukrainian. 8. Parfёnov VA. [Cognitive and emotional disorders in patients with hypertension]. Ukrainsky nevrologicheny Journal. 2006;1:47-52. Ukrainian. 9. Rebrovа O. [Statistical analysis of medical data. The use of the application package STATISTICA]. 2002;312. 10. Svischenko EP. [Detection and treatment of hypertension in Ukraine: reality and perspectives]. 2011;1:13-15. Ukrainian. 11. Yakhno NN. [Syndrome of mild cognitive disor¬ders in vascular encephalopathy]. Journal nevropatolohyy and psyhyatryy. 2005;2:13-17. Russian. 12. Arima H. PROGRESS Collaborative Group. Lo¬wer target blood pressures are safe and effective for the prevention of recurrent stroke: the PROGRESS trial. J. Hypertens. 2006;24:1201–8. 13. Fagard RH. Prognostic significance of blood pressure measured in the office, at home and during am¬bu¬latory monitoring in general practice. J. Hum Hy¬pertens. 2005;19:801–7. 14. Hypertension: management of hypertension in adults in primary care NICE/BHS. June 2006. www.nice.org.uk/CG034nice.org.uk/ 15. Laurent S. European Network for non invasive investigation of large arteries. Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J. 2000;27:2588–605. 16. Mancia G. Assessment of long-term antihyper¬ten¬sive treatment by clinic an ambulatory blood pressure. Data from the ELSA Study. J. Hypertens. 2007;25:1087–94.

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Published

2015-06-08

How to Cite

1.
Khomazyuk TA, Krotova VY, Sova OV, Yagolnik VM. Cognitive disorders in patients with arterial hypertension in real medical practice. Med. perspekt. [Internet]. 2015Jun.8 [cited 2024Dec.24];20(2):42-7. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/45648

Issue

Vol. 20 No. 2 (2015)

Section

CLINICAL MEDICINE

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