The psychoemotional status of hypertensive patients who have experienced acute cerebrovascular accident

Hypertension Is a leading risk factor that contributes to disability in the population, for It Is a direct source of vascular accidents. A high proportion of poststroke disorders are accounted for by cognitive impairment (Cl) and psychoemotional sphere disorders. Objective. To study the magnitude of Cl and psychoemotional disorders in hypertensive outpatients who have undergone acute Ischemic cerebrovascular accident (CVA). Subjects and methods. The study involved 36 hypertensive patients (mean age 65.16±3.2 years), who were divided Into 2 groups: 1) 12 patients with a history of acute CVA; 2) 24 patients without a history of acute CVA. Results. Group 1 patients were found to have Cl no dementia with a Mini-Mental State Examination (MMSE) score of27.0 (27.0; 28.0); Group 2 patients did not have Cl with a MMSE score of 30.0 (29.0; 30.0) (p=0.000). Geriatric depression was not detected In the examined groups. In Groups 1 and 2 patients, the geriatric depression scale total score was 4.0 (3.0; 5.0) and 0.0 (0.0; 1.0), respectively (p=0.000). Significant differences were found between the groups according to the scores of MMSE (r=0.800; p<0.05) and M4S (r=0.600; p<0.05). There were also significant differences between the groups on MMSE subscales, such as orientation In time and place (r=0.337; p<0.05), memorization (r=0.337; p<0.05), attention focusing and counting (r=0.704; p<0.05), speech functions (r=0.786; p<0.05), three-step command (r=0.337; p<0.05), and constructive praxis (r=0.460; p<0.05). The correlation between the groups on the geriatric depression scale was significantly negative (r=-0.666; p<0.05). Conclusion. The Introduction of screening scales for the Identification of Cl and depression In hypertensive patients In the practice of local physicians and general practitioners will be able to timely diagnose these disorders and to assist in drawing up rehabilitation programs.