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Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
07:30

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions

Published on: April 23, 2021

[Prevention and correction of cognitive disorders in arterial hypertension]

L I Abasova, A M Babaev, R K Shiralieva

    Kardiologiia
    |December 17, 2009
    PubMed

    Insights

    Preventing cognitive disorders in arterial hypertension (AH) patients involves managing cardiac and cerebral health. Certain medications like calcium antagonists offer advantages in preventing dementia and cognitive decline.

    Area of Science:

    • Cardiology
    • Neurology
    • Pharmacology

    Context:

    • Arterial hypertension (AH) is closely linked to cognitive impairment.
    • Cardiac and cerebral pathologies often coexist in AH patients.
    • Effective management of comorbidities is crucial for cognitive health in AH.

    Purpose:

    • To review and systematize literature on preventing and correcting cognitive disorders in arterial hypertension (AH).
    • To highlight the interrelationship between cardiac and cerebral pathology in AH.
    • To evaluate the role of antihypertensive therapy in preventing cognitive decline.

    Summary:

    • Multicenter randomized studies confirm a strong link between cardiac and cerebral pathology in AH patients.
    • A rational approach to antihypertensive therapy and blood pressure (BP) management is vital, especially in high-risk individuals.
    • Calcium antagonists, angiotensin II receptor blockers, and ACE inhibitors show advantages in preventing dementia and cognitive disturbances.

    Impact:

    • Provides evidence-based recommendations for antihypertensive drug selection in AH patients at risk of cognitive decline.
    • Emphasizes the importance of integrated cardiovascular and neurological care for AH patients.
    • Contributes to the prevention strategies for stroke and dementia in hypertensive populations.

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