Arterial hypertension, cognitive disorders and dementia: the view of the cardiologist

Authors:
O.D. Ostroumova ^1.2 , M.S. Chernyaeva ³

¹ FSBEI IN "Moscow State Medical and Dentological University named after A.I. Evdokimov »Ministry of Health of Russia, Moscow, Russia;
² FGAOU VO "First Moscow State Medical University named after THEM. Sechenov ”(Sechenov University) of the Ministry of Health of Russia, Moscow, Russia;
³ FSBI DPO Central State Medical Academy Affairs of the President of the Russian Federation, Moscow, Russia

Place of publication:
Journal of Neurology and Psychiatry, 9, 2018

Summary:
The article presents a review of domestic and foreign literature on the influence of arterial hypertension (AH) on the risk of cognitive impairment. The data of major studies are considered, indicating the relationship of blood pressure and risk of developing vascular dementia and Alzheimer's disease in elderly and senile people, as well as the role of antihypertensive therapy. Evidence of the negative impact of the presence of hypertension in the middle age on the state of cognitive functions in the elderly is presented. The importance of interdisciplinary approach to the treatment of cognitive impairment with cardiologists and/or therapists together with neurologists, as well as comprehensive treatment regimens, including correction of risk factors and neuroprotective therapy, is emphasized. Keywords: arterial hypertension, cognitive disorders, vascular dementia, Alzheimer disease, antihypertensive therapy.