Frail patient with cerebrovascular disease
Fedin Anatoly Ivanovich - MD, PhD, Honorary Professor, Head of the University Clinic of Neurology of the Federal State Autonomous Educational Institution of Higher Education Russian National Research Medical University named after N.I. Pirogov of the Ministry of Health of the Russian Federation, Scientific Director of the Rehabilitation Clinic in Khamovniki, Honored Doctor of the Russian Federation
Mkhitaryan Elen Araikovna - PhD, Head of the Laboratory of Neurogeriatrics, Russian Scientific and Clinical Center, N.I. Pirogov Russian National Research Medical University, Ministry of Health of the Russian Federation
Announcement:
In this episode of the program "Neurology Plus", experts Anatoly Ivanovich Fedin and Elen Araikovna Mkhitaryan discuss one of the most pressing topics in modern medicine - a fragile patient with cerebrovascular disease and senile asthenia.
- Demography and Aging
By 2050, more than 30% of Russia's population will be over 65. This requires a revision of treatment approaches, since elderly patients often suffer from multiple chronic diseases at the same time.
- What is frailty?
This is a syndrome associated with age-related decline in the body's reserves. Its key symptoms are weakness, unintentional weight loss, sluggishness and low physical activity.
- The relationship between asthenia and stroke
In patients with senile asthenia, stroke is more severe and recovery is slower. Even "silent" lacunar infarctions can lead to complications.
- The dangers of orthostatic hypotension
A sharp drop in blood pressure when standing up is not just dizziness, but a serious marker of fragility and a risk factor for dementia.
- How to treat fragile patients?
Therapy should be cautious:
- Blood pressure does not always need to be reduced to “young” norms.
- Statins and aspirin are not suitable for primary prevention for everyone.
- The drug Mexidol has proven effective in improving cognitive functions and has demonstrated a high safety profile
Prevention: physical activity and cognitive reserve.
Dancing, learning, and social activity help keep your brain healthy. Even simple exercises can reduce the risk of dementia.
This broadcast will be especially useful for neurologists, therapists, geriatricians and anyone who works with elderly patients. Experts will discuss not only the theory, but also the practical aspects of managing complex cases.
The main conclusion: Fragility is not a death sentence. Competent therapy and prevention can significantly improve the quality of life of older people.