Mild cognitive impairment in the practice of the therapist. Possibility of correction
The concept of cognitive function includes thinking, behavior, attention, memory, intelligence, speech, motor skills, and the ability to perceive information and integrate sensations in the integral image. Under the influence of factors of human cognitive abilities may decline. The most common cognitive disorders observed in the elderly. This is facilitated by involutive changes in the brain, smoking, low intellectual and physical activity, genetic predisposition, as well as comorbid pathology, especially arterial hypertension and atherosclerosis. Preventing the development of cognitive impairment involves a modification of lifestyle to eliminate or minimize the risk factors of dyslipidemia correction, effective control of blood pressure, blood glucose, and body weight. Population studies have shown that blood pressure levels are closely correlated with the risk of cognitive impairment and probable dementia, as well as that effective blood pressure control is able to delay the onset of dementia. The frequency of cerebrovascular foci on MRI, reaching 44%, higher than the frequency of detection of subclinical lesions of the heart and kidneys. In this connection, it is recommended in patients with arterial hypertension in elderly use appropriate tests to assess cognitive function. This evidence-based medicine can be recommended to patients with arterial hypertension in elderly reduction in systolic blood pressure to a level of 140-150 mm Hg. Such patients must be carefully controlled dynamics of cognitive functions that can deteriorate with a decrease in blood pressure. Can be used any antihypertensive drugs, with isolated systolic hypertension preferred diuretics and calcium channel blockers. For the treatment and prevention of cognitive impairment may be used piribidil which enhance dopaminergic and noradrenergic transmission.