Routine assessment of cognitive function in older patients with hypertension Seen by primary care physicians: Why and how: A decision-making support from the working group on “hypertension and the brain” of the european society of hypertension (ESH) and from the european geriatric medicine society (EuGMS)

A. Scuteri, Athanasios Benetos, Cristina Sierra, Antonia Coca, Christian Chicherio, Giovanni B. Frisoni, Dariusz Gąsecki, Dagmara Hering, Dragan Lovic, Efstathios Manios, Mirko Petrovic, Chengxuan Qiu, Susan Deborah Shenkin, Cristophe Tzourio, Andrea Ungar, Augusto Vicario, Augusto Zaninelli, Pedro G Cunha

Research output: Contribution to journalArticlepeer-review

Abstract

The guidelines on hypertension recently published by the European Societies of Hypertension and Cardiology (ESH/ESC), have acknowledged cognitive function (and its decline) as a hypertension mediated organ damage (HMOD). In fact, brain damage can be the only HMOD in more than 30% of hypertensive subjects, evolving undetected for several years if not appropriately screened; as long as undetected it cannot provide either corrective measures, nor adequate risk stratification of the hypertensive subject.
The medical community dealing with older hypertensive patients should have a simple and pragmatic approach to early identify and precisely treat these patients. Both hypertension and cognitive decline are undeniably growing pandemics in developed or epidemiologically transitioning societies. Furthermore, there is a clear-cut connection between exposure to the increased blood pressure (BP) and development of cognitive decline.
Therefore, a group of experts in the field from the European Society of Hypertension (ESH) and from the European Geriatric Medicine Society (EuGMS) gathered together to answer practical clinical question that often face the physician when dealing with their hypertensive patient in a routine clinical practice. They elaborated a Decision – making approach to help standardized such clinical evaluation.

RUNNING TITLE: Cognitive screening in older hypertensive subjects

KEYWORDS
Hypertension; Hypertension Mediated Organ Damage; Assessment; Cognition; Dementia; Prevention; Arterial Stiffness.
Original languageEnglish
Pages (from-to)90-100
Number of pages11
JournalJournal of Hypertension
Volume39
Issue number1
DOIs
Publication statusPublished - 1 Jan 2021

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