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Updated: Apr 30, 2026

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
[Asymptomatic cerebral infarctions: risk factors and cognitive impairment]
R R Zhetishev1, N A Mikhaĭlova, R A Ivashchenko2
1GBOU VPO "Rossiĭskiĭ natsional'nyĭ issledovatel'skiĭ meditsinskiĭ universitet im. N.I. Pirogova"
Abstract:
Objectives. To study the risk factors of asymptomatic cerebral infarctions (AI) and their effect on cognitive functions. Material and methods. We examined 114 patients, aged from 53 to 88 years, including 58 patients with AI (group 1), 32 women and 26 men (mean age 66.5±7.3 yeas), and 56 patients with chronic cerebral ischemia (CCI) without a history of stroke and transitory ischemic attacks, (group 2), 36 women and 20 men (mean age 64.2±6.6 yeas). Results. Cardiovascular risk factors (arterial hypertension, diabetes mellitus, ischemic heart disease, atrial fibrillation) were more frequent in group 1. The results of neuropsychological testing revealed worse cognitive performance in patients with AI. Conclusions. The results confirmed the negative effect of AI on cognitive functioning and higher risk of CCI progression.
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