Saratov JOURNAL of Medical and Scientific Research

Comprehensive correction of cognitive impairment in patients of older age groups with chronic heart failure

Year: 2020, volume 16 Issue: №1 Pages: 367-371
Heading: Neurology Article type: Original article
Authors: Pokachalova M.A., Silyutina M.V., Chernov A.V.
Organization: Voronezh State Medical University n.a. N.N. Burdenko

Objective: to identify the features of changes in cognitive functions (CF) and systemic hemodynamic effects in patients of older age groups with chronic heart failure (CHF) in various treatment regimens, including the use of low-intensity laser radiation (LILR) and akatinol memantine. Material and Methods. The study was conducted on the basis of the Cardiology Department of the NKZ DKB with direct consultation of neurologists: 120 patients of both sexes (average age 77.3±2.2 years) with heart failure. LILR was carried out on a Mustang-2000 low-intensity magnetic laser radiation apparatus. The following scales were used to assess CF: Montreal Cognitive Assessment (MoCA); Mini-Mental State Examination (MMSE); Frontal Assessment Batter (FAB). Results. Patients of older age groups with heart failure receiving combination therapy using LILR have an improvement in CF and quality of life, there is a positive trend in intracardiac hemodynamics, characterizing the processes of diastolic function of the left ventricular myocardium, 6 months after the start of treatment. Conclusion. The best recovery of CF occurs with complex therapy using LILR.

1. Ageev FT, Arutyunov GP, Belenkov YuN. Chronic Heart Failure. Moscow: GEOTAR-Media, 2010; p. 7-77.
2. Belenkov YuN, Mareev VYu. Cardiovascular continuum. Heart Failure 2002; (11): 7-11.
3. Mareev VYu, Ageev FT, Arutyunov GP, et al. National recommendations of the OSCH, RKOand RNMOT for the diagnosis and treatment of heart failure (fourth revision). Heart Failure 2013; 14 (7): 379-472.
4. Kutashov VA, Ulyanova OV, Khabarova TYu, Budnevsky AV. Cognitive impairment in multiple sclerosis. Saratov Journal of Medical Scientific Research 2016; 12 (2): 267-70.
5. Kutashov VA, Ulyanova OV. Neurovegetative syndrome with arterial hypertension in patients of the Voronezh region. Cardiovascular Therapy and Prevention 2016; S15: 85
6. Kutashov VA, Ulyanova OV. Improving compliance in the treatment of antihypertensive drugs in outpatient patients. Cardiovascular Therapy and Prevention 2016; S15: 86-7
7. Esposito R, Sorrentino R, Galderisi M. The use of transthoracic echocardiography for the assessment of left ventricular systolic and diastolic function in patients with suspected or ascertained chronic heart failure. Expert Rev Cardiovasc Ther 2016; 14: 37-50.
8. Nagueh SF, Smiseth OA, Appleton CP, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging 2016; 17: 1321-60.
9. Amirov NB, Abdrakhmanova Al. The use of low-intensity laser radiation in the complex treatment of coronary heart disease. Russian Journal of Cardiology 2002; (5): 24-7.
10. Filippova TV, Melnikova YuA, Efremushkin GG. Central hemodynamics in elderly patients with chronic heart failure during complex treatment using perindopril/indapamide and low-intensity laser radiation. RKZh 2012; (5). URL: https:// cyberle icle/n/tsentra Inaya-gemodinam ika-u-bolnyh-pozhilogo-i-starcheskogo-vozrasta-s-hronicheskoy-serdechnoy-nedostatochnostyu-v-protsesse (accessed date: 02.07.2019).

2020_01-3_367-371.pdf336.5 KB

No votes yet