The brain is a target organ of arterial hypertension
- 00:00:22
Introduction: Arterial hypertension (AH) as a common disease
- 00:01:38
Problems of diagnosing hypertension
- 00:03:00
Portrait of a patient with hypertension
- 00:05:11
Early cognitive impairment in hypertension
- 00:08:29
Methods of diagnosing cognitive disorders
- 00:11:20
Target BP levels
- 00:13:02
Treatment tactics
- 00:15:24
The role of neuroprotectors (for example, Mexidol)
- 00:19:53
Evidence base
- 00:22:06
Tactics of management
Aleksey Ivanovich Kochetkov , PhD, functional diagnostics physician, associate professor at the Department of Therapy and Polymorbid Pathology named after Academician M.S. Vovsi, Federal State Budgetary Educational Institution of Higher Professional Education, Russian Medical Academy of Postgraduate Education, Ministry of Health of the Russian Federation.
Evgeniya Viktorovna Ekusheva , Doctor of Medical Sciences, Professor, Head of the Department of Nervous System Diseases and Neurorehabilitation at the Academy of Postgraduate Education of the Federal Scientific and Clinical Center of the Federal Medical and Biological Agency of Russia.
Announcement:
Arterial hypertension (AH) is a global problem, “getting younger” and affecting people regardless of social status. Primary care physicians often face late diagnosis, and patients – consequences: from cognitive impairment to dementia.
Key topics:
- Diagnosis of hypertension: ABPM (daily blood pressure monitoring) is the gold standard;
- Patient profile: obesity, diabetes, stress – “red flags”. Young patients at risk;
- Target organ No. 1 – the brain: how hypertension destroys cognitive functions (memory, attention, speed of thinking) and increases the risk of stroke;
- The role of the therapist: achieving target blood pressure, early screening of cognitive impairment (tests: Montreal Scale, Trail Making Test).
Therapy:
- Basis: ACE inhibitors/sartans + calcium antagonists/diuretics.
- Neuroprotection: Mexidol is a multimodal drug with proven efficacy (MEMO study).
Early diagnosis and a comprehensive approach save the brain and quality of life of patients!
- 00:00:22
Introduction: Arterial hypertension (AH) as a common disease
- 00:01:38
Problems of diagnosing hypertension
- 00:03:00
Portrait of a patient with hypertension
- 00:05:11
Early cognitive impairment in hypertension
- 00:08:29
Methods of diagnosing cognitive disorders
- 00:11:20
Target BP levels
- 00:13:02
Treatment tactics
- 00:15:24
The role of neuroprotectors (for example, Mexidol)
- 00:19:53
Evidence base
- 00:22:06
Tactics of management