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Cognitive Disorders and Dementia in Old Patients With Arterial Hypertension

https://doi.org/10.18087/cardio.2018.10.10186

Abstract

The article describes the definition of dementia, its diagnostic criteria, classification. Differences in the pathogenesis and clinical manifestations of different types of dementia are considered. The issues of interrelation of arterial hypertension and the risk of development of cognitive disorders and dementia in old and very old people are discussed in detail. Data on the effect of antihypertensive drugs of different groups on the risk of dementia and the state of cognitive functions are presented. The evidence base of dihydropyridine calcium antagonist amlodipine and thiazide-like diuretic indapamide-retard is discussed with respect to the prevention of dementia and cognitive decline and their beneficial effect on cognitive function in patients with arterial hypertension.

About the Authors

O. D. Ostroumova
Sechenov First Moscow State Medical University; A. I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation


A. V. Starodubova
Federal Research Centre of Nutrition and Biotechnology; Pirogov Russian National Research Medical University
Russian Federation


T. M. Ostroumova
Sechenov First Moscow State Medical University
Russian Federation


M. S. Chernyaeva
Central State Medical Academy, President Management Department RF
Russian Federation


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Review

For citations:


Ostroumova O.D., Starodubova A.V., Ostroumova T.M., Chernyaeva M.S. Cognitive Disorders and Dementia in Old Patients With Arterial Hypertension. Kardiologiia. 2018;58(10):71-79. (In Russ.) https://doi.org/10.18087/cardio.2018.10.10186

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