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Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
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COMPARATIVE PSYCHOMETRIC ANALYSIS OF COGNITIVE FUNCTIONS IN PATIENTS WITH HYPERTENSIVE DISEASE AND HYPOTHYROIDISM

Mariana I Lesiv1, Victoriia A Hryb1

  • 1IVANO-FRANKIVSK NATIONAL MEDICAL UNIVERSITY, IVANO-FRANKIVSK, UKRAINE.

Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|December 13, 2021
PubMed

Insights

Hypertensive disease (HD) impacts memory, while hypothyroidism affects attention. Combined conditions impair memory, executive, and spatial functions, requiring specific diagnostic tests for each.

Area of Science:

  • Neurology
  • Endocrinology
  • Cognitive Science

Background:

  • Hypertensive disease (HD) and hypothyroidism are common conditions that can affect cognitive function.
  • Understanding the specific cognitive domains impacted by these conditions individually and concurrently is crucial for accurate diagnosis and management.
  • Cognitive impairment (CI) assessment requires tailored approaches based on underlying pathologies.

Purpose of the Study:

  • To evaluate cognitive function domains in patients with hypertensive disease (HD).
  • To assess cognitive function domains in patients with hypothyroidism.
  • To determine the impact on cognitive functions in patients with both HD and hypothyroidism.

Main Methods:

  • Patients were categorized into three groups: HD (n=21), hypothyroidism (n=18), and combined HD with hypothyroidism (n=19).
  • Cognitive functions were assessed using standardized tests, including Luria's 10-word learning test, Digit Span (Mattisse scale), and the Munsterberg 'Selectivity of Attention' test.
  • Statistical analysis was performed to identify significant differences and interactions between conditions.

Main Results:

  • Patients with HD showed significant memory deficits (Luria 10-word test, Digit Span; p<0.05).
  • Patients with hypothyroidism exhibited impaired attention (Munsterberg test; p<0.05).
  • Combined HD and hypothyroidism led to the most significant impairments in memory, executive functions, and optical-spatial functions (p<0.05).

Conclusions:

  • For HD patients with memory concerns, Luria's 10-word test and Digit Span are recommended diagnostic tools.
  • Hypothyroidism patients should be assessed for attention and executive functions using Schulte Tables and the Munsterberg 'Selectivity of Attention' test.
  • Patients with combined HD and hypothyroidism require a comprehensive assessment including Schulte Tables, Luria's 10-word test, and the Clock Drawing Test.
Abstract

Keywords:
cognitive functionshypertensive diseasehypothyroidismneuropsychological testing

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