Assessment of cognitive functions in patients with arterial hypotension

Abstract

Objective. To conduct a study of cognitive functions in young people (18–44 years old) with arterial hypotension, to determine the prognostic significance of arterial hypotension in the development of cognitive impairment.

Materials and methods. A survey in patients aged 18–44 years with arterial hypotension was conducted in electronic format using the Google Forms service (Google Forms). The survey involved 100 persons with arterial hypotension, the control group consisted of 50 persons. Data processing was carried out using Microsoft Excel as well as statistical methods were used.

Results. Arterial hypotension is the result of a functional disorder of the nervous system and it leads to some unpleasant symptoms: loss of strength, weakness, lethargy, decreased concentration, memory impairment and many other signs that can reduce the quality of life of people. In general, arterial hypotension does not lead to significant impairment of cognitive functions at a young age, but in such patients, attention, concentration, working memory and speech function get worse to some extent.

Conclusions. Arterial hypotension can be a risk factor for the onset and progression of cognitive disorders, therefore, in all patients with this disease, close attention should be paid to the state of higher mental functions while conducting such simple clinical and psychological studies using cognitive function assessment scales to track dynamics.

Keywords

arterial hypotension / cognitive impairments / MoCA test

References

[1] Mikhailov A.A. Chronic arterial hypotension: possibilities of drug correction. Russian Medical Journal: an independent publication for practicing physicians 2004; 12 (7): 468–470 (in Russian).

[2] Михайлов А.А. Хроническая артериальная гипотензия: возможности медикаментозной коррекции. Русский медицинский журнал: независимое издание для практикующих врачей 2004; 12 (7): 468–470.

[3] Leontieva I.V. Arterial hypotension in children and adolescents (a lecture for doctors). Moscow 2002; 62 (in Russian).

[4] Леонтьева И.В. Артериальная гипотензия у детей и подростков (лекция для врачей). М. 2002; 62.

[5] Yakhno N.N. Cognitive disorders in a neurological clinic. Neurology Journal 2006; 11 (1): 4–12 (in Russian).

[6] Яхно Н.Н. Когнитивные расстройства в неврологической клинике. Неврологический журнал 2006; 11 (1): 4–12.

[7] Kozlovsky V.I. et al. Methods for the study of orthostatic reactions. Vitebsk 2010; 254 (in Russian).

[8] Козловский В.И. и др. Методы исследования ортостатических реакций. Витебск 2010; 254.

[9] Zakharov V.V. Diagnosis and treatment of moderate cognitive impairment. Neurology, neuropsychiatry, psychosomatics 2010; 2: 5–10 (in Russian).

[10] Захаров В.В. Диагностика и лечение умеренных когнитивных нарушений. Неврология, нейропсихиатрия, психосоматика 2010; 2: 5–10.

[11] Tromop van Dalen C., Thorne K., Common K., Edge G., Woods L. Audit to investigate junior doctor’s knowledge of how to administer and score the Montreal Cognitive Assessment (MoCA). The New Zealand Medical Journal 2018; 131 (147).

[12] Tkacheva O.N., Cherdak M.A., Mkhitaryan E.A. Examination of patients with cognitive impairment. Russian Medical Journal 2017; 25 (25): 1880–1883 (in Russian).

[13] Ткачева О.Н., Чердак М.А., Мхитарян Э.А. Обследование пациентов с когнитивными нарушениями. Российский медицинский журнал 2017; 25 (25): 1880–1883.

[14] Kurbanova M.M., Galayeva A.A., Stefanovskaya Y.V., Suvorkina A.A., Alikhanov N.M. Modern methods for the diagnosis of cognitive impairment. Russian Family Doctor 2020; 24 (1): 35–44 (in Russian).

[15] Курбанова М.М., Галаева А.А., Стефановская Е.В., Суворкина А.А., Алиханов Н.М. Современные методы диагностики когнитивных нарушений. Российский семейный врач 2020; 24 (1): 35–44.

[16] Odinak M.M., Emelin A.Y., Lobzin V.Y. Cognitive disorders in cerebrovascular pathology. Moscow: SpetsLit. 2022; 229 (in Russian).

[17] Одинак М.М., Емелин А.Ю., Лобзин В.Ю. Нарушения когнитивных функций при цереброваскулярной патологии. М.: СпецЛит 2022; 229.

[18] Shcherbakova M.M. Cognitive disorders and their rehabilitation in a neurological clinic. Moscow: Ed. by V. Sekachev 2021; 228 (in Russian).

[19] Щербакова М.М. Когнитивные нарушения и их реабилитация в неврологической клинике. М.: Изд. В. Секачев 2021; 228.

RIGHTS & PERMISSIONS

Malkova A.A., Pustovalova А.D., Borisova E.A.