Preview

Rational Pharmacotherapy in Cardiology

Advanced search

COGNITIVE-MNESTIC FUNCTIONS IN ABLE-BODIED AGED PATIENTS WITH ESSENTIAL ARTERIAL HYPERTENSION IN AMLODIPINE TREATMENT

https://doi.org/10.20996/1819-6446-2011-7-3-313-318

Abstract

Aim. To evaluate an effect of amlodipine on cognitive-mnestic functions (CMF) in able-bodied aged patients with essential arterial hypertension (EHT) with different degrees of blood pressure (BP) elevation. Material and Methods. CMF were studied in 97 patients with EAH aged 30-60 before and after antihypertensive therapy with amlodipine. Results. Revealed CMF changes corresponded to amnestic multifunctional type of mild cognitive impairments (R. Peterson, 2004) that is considered as a precursor of vascular dementia. Cognitive deficiency grade correlated positively with BP elevation degree: a total MMSE score is higher in patients with EHT 1 degree than this in patients with EHT 3 degree. Amlodipine therapy improved CMF: total MMSE score increased as well as scores according to “Attention” and “Memory” scales of MMSE. Conclusion. Monotherapy with calcium channels antagonist, amlodipine, improves CMF in patients with EAH. Amlodipine has positive effects on attention concentration and memory.

About the Authors

N. N. Ilov
Astrakhan medical and sanitary unit
Russian Federation


R. N. Shvarts
Astrakhan State Medical Academy
Russian Federation


T. N. Panova
Astrakhan State Medical Academy
Russian Federation


References

1. Konradi A.O. Antihypertensive therapy in the prevention and correction of cognitive disorders. Ob-zory klinicheskoy kardiologii 2006; 8:38-42. Russian (Конради А.О. Антигипертензивная терапия в профилактике и коррекции когнитивных расстройств. Обзоры клинической кардиологии 2006; 8:38-42).

2. Forette F., Seux M.L., Staussen J.A. et al. Systolic Hypertension in Europe Investigators. The prevention of dementia with antihypertensive treatment: new evidence from the Systolic Hypertension in Europe (Syst-Eur) study. Arch Intern Med 2002; 162(18):661–63.

3. Zanchetti A., Rosei E.A., Dal Palu C., Leonetti G., Magnani B., Pessina A. The Verapamil in Hypertension and Atherosclerosis Study (VHAS): results of long-term randomized treatment with either verapamil or chlorthalidone on carotid intima-media thickness.. J Hypertens 1998;16: 1667-76.

4. Borhani N.O., Mercuri M., Borhani P.A., Buckalew V.M., Canossa-Terris M., Carr A.A., Kappagoda T., Rocco M.V., Schnaper H.W., Sowers J.R., Bond M.G. Final outcome results of the Multicenter Is-radipine Diuretic Atherosclerosis Study (MIDAS). A randomized controlled trial. JAMA 1996; 276:785-91.

5. Staessen J.A., Fagard R., Thijs L. et al, for the Systolic Hypertension in Europe (Syst-Eur) Trial investigators. Randomised double-blind comparison of placebo and active treatment or older patients with isolated systolic hypertension. Lancet 1997; 350:757-764.

6. Hansson L., Lindholm L.H., Ekbom T., Dahlof B., Lanke J., Schersten B., Wester P.O., Hedner T., de Faire U. Randomised trial of old and new antihypertensive drugs in elderly patients: cardiovascular mortality and morbidity the Swedish Trial in Old Patients with Hypertension-2 study. Lancet 1999; 354:1751-6.

7. Gurevich M.A. The problem of cognitive decline and stroke in cardiology practice. Consilium Medicum 2006; 8(5):23-25. Russian (Гуревич М.А. Проблема когнитивных расстройств и мозгового инсульта в кардиологической практике. Consilium Medicum 2006; 8(5):23-25).

8. Preobrazhenskaya I.S., Yakhno N.N. Age cognitive dysfunction: diagnosis and treatment. Zhurnal nevropatologii i psikhiatrii imeni S.S. Korsakova 2006;11:33-38. Russian (Преображенская И.С., Яхно Н.Н. Возрастная когнитивная дисфункция: диагностика и лечение. Журнал неврологии и психиатрии 2006;11:33-38).

9. Drozdova I.V., Drozdov V.A. Effect of combined antihypertensive therapy on the psychological state of patients with arterial hypertension with nosogenias. Meditsinskaya psikhologiya. Meditsinskaya psikhologiya 2008;2:78-81. Russian (Дроздова И.В., Дроздов В.А. Влияние комбинированной антигипертензивной терапии на психологическое состояние больных артериальной гипертензией с нозогениями. Медицинская психология. Медицинская психология 2008;2:78-81).

10. Efimova I.Iu., Efimova N.Iu,. Triss S.V., Lishmanov Iu.B. Changes of cerebral perfusion and cognitive function in patients with essential hypertension at the background of hypotensive therapy. Kardiologiia 2006;46(1):50. Russian (Ефимова И.Ю., Ефимова Н.Ю., Трисс С.В. и др. Изменения церебральной перфузии и когнитивной функции у больных эссенциальной гипертонией на фоне гипотензивной терапии. Кардиология 2006;1:50).

11. Sorokina I.B., Gudkova A.A., Gekht A.B. Mild cognitive impairment in vascular diseases of the brain: diagnosis and treatment principles. Trudnyy patsient 2010; 8(3):56-60. Russian (Сорокина И.Б., Гудкова А.А., Гехт А.Б. Умеренные когнитивные расстройства при сосудистых заболеваниях головного мозга: диагностика и принципы терапии. Трудный пациент 2010; 8(3):56-60).

12. Nedogoda S.V., Brel" U.A., Chalyabi T.A. Angiotensin II receptor antagonist and ACE inhibitor effectiveness in cognitive function correction among elderly patients with arterial hypertension. Kardiovaskulyarnaya terapiya i profilaktika 2007; 3:19-23. Russian (Недогода С.В., Брель У.А., Чаляби Т.А. Различная эффективность антагониста рецепторов ангиотензина II и ингибитора ангиотензин-превращающего фермента в коррекции когнитивных нарушений при артериальной гипертензии у лиц пожилого возраста. Кардиоваскулярная терапия и профилактика 2007; 3:19-23).

13. Polyatykina T.S., Mishina I.E., Bulychev G.I. et al. Effectiveness, safety, cognitive and emotional effects of amplodipine antihypertensive therapy in women with mild to moderate arterial hypertension. Kardiovaskulyarnaya terapiya i profilaktika 2006;5(5):53-57. Russian (Полятыкина Т.С., Мишина И.Е. и соавт. Оценка эффективности, безопасности, влияния на когнитивные функции и эмоциональную сферу антигипертензивной терапии амлодипином у женщин с мягкой и умеренной артериальной гипертонией. Кардиоваскулярная терапия и профилактика 2006;5(5):53-57).


Review

For citations:


Ilov N.N., Shvarts R.N., Panova T.N. COGNITIVE-MNESTIC FUNCTIONS IN ABLE-BODIED AGED PATIENTS WITH ESSENTIAL ARTERIAL HYPERTENSION IN AMLODIPINE TREATMENT. Rational Pharmacotherapy in Cardiology. 2011;7(3):313-318. (In Russ.) https://doi.org/10.20996/1819-6446-2011-7-3-313-318

Views: 924


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1819-6446 (Print)
ISSN 2225-3653 (Online)