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

Published on: April 23, 2021

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Improving diagnostic approaches to cerebrovascular disorders in patients with hypertensive encephalopathy

Natalia Svyrydova1

  • 1Department of Neurology and Reflexology, Institute of Family Medicine, Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine.

Journal of Education and Health Promotion
|November 3, 2022
PubMed

Insights

Early neurological examination is crucial for hypertensive encephalopathy (HE) detection in hypertension patients. This helps prevent target organ damage, particularly brain damage, through timely diagnosis and intervention.

Area of Science:

  • Neurology
  • Cardiovascular Research
  • Clinical Diagnostics

Background:

  • Ischemic stroke incidence is rising, with increased vascular disease risk factors in younger populations.
  • Traditional risk factors like hypertension, dyslipidemia, and diabetes are prevalent in the elderly.
  • Hypertensive encephalopathy (HE) poses a significant challenge in managing cerebrovascular disorders.

Purpose of the Study:

  • To enhance diagnostic approaches for cerebrovascular disorders in patients with hypertensive encephalopathy (HE).
  • To elucidate the pathogenesis mechanisms of HE through comprehensive clinical investigation.
  • To improve early detection and management strategies for HE.

Main Methods:

  • Qualitative study involving clinical and neurological examinations.
  • Neuropsychological assessments including Mini-Mental State Examination, personality, and depression scales.
  • Two-stage clinical examination to establish or exclude symptomatic hypertension in 351 patients with Grade 2 hypertension.

Main Results:

  • 351 patients (150 men, 201 women) with Grade 2 hypertension and HE were evaluated.
  • Exclusion criteria included secondary hypertension, diabetes, cardiac arrhythmias, heart failure, stroke, and myocardial infarction.
  • The study focused on identifying HE manifestations in hypertensive patients.

Conclusions:

  • Mandatory neurological examination for hypertension patients is essential for HE detection.
  • Utilizing modern research methods aids in identifying HE manifestations.
  • Early detection of HE prevents target organ damage, especially to the brain.
Abstract

Keywords:
Cerebrovascular disorderscomprehensive researchdiagnosis of hypertensive encephalopathyhypertensive encephalopathystroke risk factors

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