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Masked Hypertension is Associated With Cognitive Decline in Geriatric Age-Geriatric MASked Hypertension and Cognition

Mert Esme1, Burcu Balam Yavuz2, Bunyamin Yavuz3

  • 1Faculty of Medicine, Department of Internal Medicine, Hacettepe University, Ankara, Turkey.

The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
|September 29, 2017
PubMed

Insights

Masked hypertension, a condition with normal office blood pressure but high ambulatory readings, is linked to decreased cognitive function in geriatric patients. Early detection and cognitive assessment are crucial for managing this condition.

Area of Science:

  • Geriatric Medicine
  • Cardiology
  • Neurology

Background:

  • Masked hypertension is defined by normal office blood pressure but elevated ambulatory blood pressure measurements.
  • The impact of masked hypertension on cognitive functions remains largely unexamined.
  • Hypertension is a known risk factor for cognitive decline.

Purpose of the Study:

  • To investigate the association between masked hypertension and cognitive function in geriatric patients.
  • To determine if masked hypertension affects cognitive performance in older adults.

Main Methods:

  • 102 normotensive geriatric outpatients were assessed using ambulatory blood pressure monitoring (ABPM).
  • Patients underwent comprehensive geriatric and neuropsychological assessments.
  • Masked hypertension diagnosis followed the 2013 European Society of Cardiology guidelines.

Main Results:

  • 43% of participants were diagnosed with masked hypertension.
  • Patients with masked hypertension showed significantly lower scores on the Mini-Mental State Examination (MMSE), Quick Mild Cognitive Impairment Test (QMCI), and Categorical Fluency Test.
  • A non-significant trend towards lower scores on the Montreal Cognitive Assessment Scale was observed in the masked hypertension group.

Conclusions:

  • Geriatric patients with masked hypertension may experience diminished cognitive functions compared to normotensive individuals.
  • Masked hypertension should be considered in the assessment of older adults.
  • Cognitive assessment is recommended upon detection of masked hypertension to identify early cognitive dysfunction.
Abstract

Keywords:
Cognitive functionsGeriatricsMasked hypertension

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