Key result
Arterial hypertension is a significant risk factor for the development and progression of cognitive impairment, increasing the risk of vascular dementia by 62% in patients aged 30 to 50 years.
Arterial hypertension is a major risk factor for cognitive impairment and vascular dementia, highlighting the importance of blood pressure control to preserve cognitive function.
Supports cognitive screening in midlife hypertension; leaves open prospective confirmation before practice change.
The article considers risk factors for the development of cognitive disorders, the most powerful of which is age. The role of the cardiovascular system diseases in the formation of cognitive impairments, in particular, the development of changes in the cognitive sphere in arterial hypertension, is reflected. The main causes of the appearance and clinical variants of the manifestation of cognitive impairment in patients with arterial hypertension are highlighted. Attention is paid to morpho-functional changes in the brain, large and small cerebral vessels in the increased blood pressure and their relationship to cognitive impairments. The indications to the study of the cognitive sphere and the variants of diagnosis of cognitive impairments in patients with arterial hypertension are reflected.
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Krotova et al. (2018) conducted a review in Arterial hypertension and cognitive impairment. Arterial hypertension vs. Normotension was evaluated. Arterial hypertension is a significant risk factor for the development and progression of cognitive impairment, increasing the risk of vascular dementia by 62% in patients aged 30 to 50 years.
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