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November 1, 1977Archives of Neurology78 citations

Neuropsychological Correlates of Hypertension

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FBFrançois BollerPVP. Bart VrtunskiJMJames Mack

Key Result

Untreated arterial hypertension in 20 men was associated with significant deficits in general neuropsychological functioning, including slower reaction times, compared to 20 normotensive controls.

Key Points

  • The study aims to investigate the relationship between hypertension and neuropsychological functioning.
  • Involved 20 newly diagnosed, untreated hypertensive men and 20 normotensive controls.
  • Participants were assessed using a neuropsychological battery testing both general and specific cognitive functions.
  • Comparison of reaction time and digit span scores between both groups was conducted.
  • Hypertensive men exhibited significantly slower reaction times compared to controls (p<0.05).
  • Hypertensives had a shorter forward digit span than normotensive men, indicating impaired attention span (p<0.05).
  • No differences were found in specific cognitive abilities between the two groups.

Study Design

Type

Case-Control (n=40)

Structured PICO

Is newly diagnosed, untreated hypertension associated with neuropsychological deficits in men?

P
Population
40 men, including 20 newly diagnosed, untreated hypertensives and 20 normotensive controls, assessed with a neuropsychological battery.
C
Comparator
Normotensive controls
O
Outcome
Performance on a neuropsychological battery including tests of generalized functions (reaction time, full-scale IQ) and specific functions (language, visual-spatial abilities)

Newly diagnosed, untreated hypertension in men is associated with impairments in vigilance and attention span, suggesting early generalized neuropsychological deficits.

Abstract

Twenty newly diagnosed, untreated hypertensive men (diastolic blood pressure greater than 105 mm Hg) and 20 normotensive controls were given a neuropsychological battery, including tests of generalized, more global functions (eg, reaction time and full-scale IQ) and of specific functions (eg, language and visual-spatial abilities) sensitive to focal damage. Tests of specific abilities yielded no differences between the two groups. In contrast, tests of general neuropsychological functioning revealed a deficit among hypertensives, who were significantly slower on the reaction time test and had a shorter span for digits in forward order. Results suggest that arterial hypertension is associated with impairment of vigilance and attention span. Future research will determine whether this impairment is associated with the diffuse pathological changes seen in the brain of hypertensive subjects, or with a more "functional" change (eg, reduced cerebral blood flow).

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Cite This Study

Boller et al. (1977) conducted a case-control in Hypertension (n=40). Hypertension vs. Normotensive controls was evaluated on Neuropsychological functioning (generalized and specific functions). Untreated arterial hypertension in 20 men was associated with significant deficits in general neuropsychological functioning, including slower reaction times, compared to 20 normotensive controls.

synapsesocial.com/papers/6a22b2ebf1a51c21f70e0807https://doi.org/10.1001/archneur.1977.00500230071012
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