THE EFFECT OF BLOOD PRESSURE VARIABILITY ON THE COGNITIVE AND PSYCHO-EMOTIONAL SPHERES IN PATIENTS (PUBLIC SERVANTS) AFTER AN ISCHEMIC STROKE WITH MILD NEUROLOGICAL DEFICIT
DOI:
https://doi.org/10.11603/1681-2786.2021.4.12860Keywords:
blood pressure variability, ischemic stroke, cognitive disorders, psycho-emotional disordersAbstract
Purpose: to investigate the effect of blood pressure variability (BP) on the severity of manifestations of cognitive deficits and emotional and volitional disorders in patients after ischemic stroke.
Materials and Methods. The study included 90 patients aged 33 to 72 years: the 1st (main) group consisted of 30 patients who suffered an ischemic stroke (II) on the background of hypertension (H) with mild neurological deficits and returned to work; 2nd 30 patients with H for more than 5 years, 3rd group 30 patients without chronic diseases. The average age of patients was in the main group 57.6 7.0, in the first contr.– 57.5 7.5, in the second cont. – 44.4 7.9 years.
Research methods used: clinical, neuropsychological testing, statistical methods.
Results. The analysis of anthropometric data revealed that patients of the main and first control groups were overweight (BMI>25), while patients of the second control group (almost healthy) had a BMI slightly higher than the reference. Cognitive and psycho-emotional areas did not differ significantly in patients’ main and first control groups.
Conclusions. When studying the impact of BPV on the cognitive sphere and psycho-emotional state of patients after stroke with mild neurological deficit, it was found that the indicators of BPV were kept within acceptable values. When comparing the data of studies of patients of the main and I counter. groups with a group of relatively healthy patients (2 contr.gr.), inter-visit BP variability (SBP, DBP) was significantly lower in the latter (p<0.001, p=0.004).
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