The brain is a target organ for arterial hypertension: features of management of the elderly patient
- 00:00:33
The brain is a target organ of hypertension: prevention of stroke and dementia
- 00:05:47
Assessment of cognitive functions is a mandatory screening for hypertension
- 00:10:59
Hypertension is the main threat to cognitive health of the brain.
- 00:22:23
High blood pressure variability is a key risk factor for dementia
- 00:54:41
Mandatory assessment of cognitive functions in elderly people with hypertension
Yulia Viktorovna Kotovskaya , Doctor of Medical Sciences, Professor, Deputy Director for Research at the Russian Scientific and Clinical Center of the Federal State Autonomous Educational Institution of Higher Education, the N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation, and Head of the Department for the Implementation of the Functions of the National Medical Research Center for Geriatrics
Announcement:
We present to you a report by Professor Yulia Viktorovna Kotovskaya, Deputy Director for Research at the Russian Gerontology Research and Clinical Center—a topical presentation on the management of patients with hypertension in the elderly.
- Why is hypertension the main threat to brain health, not just the heart and kidneys?
- Why is cognitive impairment not a sign of aging, but the first sign of brain damage in hypertension?
- How can early diagnosis prevent progression to dementia?
The video lecture discusses in detail the importance of cognitive screening:
- ESC 2023 Guidelines: Assessment of cognitive function in patients with hypertension;
- Use of MoCA and MMSE in outpatient practice;
- Screening is mandatory for elderly patients.
Key risk factors for cognitive impairment:
- Systolic blood pressure level >130 mmHg;
- High BP variability is a major predictor of dementia;
- Duration of uncontrolled hypertension.
Features of therapy in elderly patients:
- Stable blood pressure control is more important than its level;
- Minimizing variability is key to preventing cognitive decline;
- The need for an integrated approach: basic therapy + neuroprotection.
Key takeaway: Neuroprotection is not an option, but a necessity, so supporting brain reserve and improving quality of life is crucial.
Watch the report to:
- Learn to identify cognitive impairment at the preclinical stage;
- Understand how to manage an elderly patient with hypertension;
- Learn how to protect your brain from progressive damage.
The video lecture is mandatory viewing for therapists, cardiologists, neurologists and general practitioners.
- 00:00:33
The brain is a target organ of hypertension: prevention of stroke and dementia
- 00:05:47
Assessment of cognitive functions is a mandatory screening for hypertension
- 00:10:59
Hypertension is the main threat to cognitive health of the brain.
- 00:22:23
High blood pressure variability is a key risk factor for dementia
- 00:54:41
Mandatory assessment of cognitive functions in elderly people with hypertension