MILD COGNITIVE IMPAIRMENT IN PATIENTS WITH ARTERIAL HYPERTENSION AND ATHEROSCLEROSIS. POSSIBILITY OF CORRECTION.
Cognitive abilities of a person can decrease under the inuence of a number of factors. The most common cognitive disorders are observed in the elderly. This is facilitated by involuntary changes in the brain, smoking, low intellectual and motor activity, hereditary predisposition, as well as comorbid pathology, especially arterial hypertension and atherosclerosis. Prevention of the development of cognitive impairment involves the modication of the lifestyle with the elimination or minimization of risk factors, correction of dyslipidemia, effective control of blood pressure, blood glucose, body weight.The level of arterial blood pressure is closely correlated with the risk of developing cognitive dysfunction and the probability of dementia, at the same time effective control of blood pressure can delay the onset of dementia.Data from evidence-based medicine make it possible to recommend a reduction in systolic blood pressure to a level of 140-150 mm Hg in patients with hypertension of the elderly and senile age. Such patients need to carefully monitor the dynamics of cognitive functions, which can worsen with lowering blood pressure.