Carotid intima-media thickness is associated with cognitive deficiency in hypertensive patients with elevated central systolic blood pressure

dc.creatorDias, ED
dc.creatorGiollo, LT
dc.creatorMartinelli, DD
dc.creatorMazeti, C
dc.creatorMoreno, H
dc.creatorVilela-Martin, JF
dc.creatorYugar-Toledo, JC
dc.date2012
dc.dateOCT 18
dc.date2014-08-01T18:24:20Z
dc.date2015-11-26T17:58:17Z
dc.date2014-08-01T18:24:20Z
dc.date2015-11-26T17:58:17Z
dc.date.accessioned2018-03-29T00:41:51Z
dc.date.available2018-03-29T00:41:51Z
dc.identifierCardiovascular Ultrasound. Biomed Central Ltd, v. 10, 2012.
dc.identifier1476-7120
dc.identifierWOS:000311323600001
dc.identifier10.1186/1476-7120-10-41
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/78466
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/78466
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1291697
dc.descriptionBackground: The role of hypertension in the loss of cognitive function is controversial. Relationships between hypertension and increases in cerebral vascular resistance, diffused lesions and multiple lacunar infarcts of the white matter are well known. Thus, the objectives of this study were: to evaluate the relationship between hypertension and cognitive dysfunction (CD), identify risk factors and determine the association between early markers of vascular disease and CD in hypertensive individuals. Methods: Two hundred individuals aged between 40 and 80 years old were evaluated in this cross-sectional prospective study. Fifty participants were controls (CT). The remaining 150 hypertensive patients were subdivided into two groups, those with CD (HCD) and those without CD (HNCD). All participants underwent clinical evaluations and biochemical blood tests were performed. CD was investigated using the Mini Mental State Examination (MMSE) following the guidelines for its use in Brazil. The impact of hypertension on the arterial bed was assessed by identifying and measuring changes in the intima-media thickness (IMT) by vascular ultrasonography of the carotid arteries and analyses of the central blood pressure and Augmentation Index by applanation tonometry of the radial artery. Results: There were no significant differences in the total cholesterol, high-density lipoprotein cholesterol and triglycerides plasma concentrations between the three groups. The serum creatinine and estimated glomerular filtration rate were within normal ranges for all three groups. A significantly lower MMSE score was recorded for the HCD Group compared to the HNCD and CT Groups (p-value < 0.05). The IMT was significantly different between the HNCD and HCD Groups (p-value = 0.0124). A significant difference in the IMT was also observed between hypertensive patients and the CT Group (p-value < 0.0001). Age, low-density cholesterol, high-density cholesterol, triglycerides and IMT increased the Odds Ratio for cognitive dysfunction. The central systolic pressure was significantly higher in the HCD and HNCD Groups compared to CT Group (p-value < 0.0001). Conclusions: Hypertensive patients with CD have changes in the vascular morphology characterized by an increased carotid IMT, enhanced atherosclerotic lipid profile and impaired hemodynamic functional manifested by elevated central systolic blood pressure.
dc.description10
dc.languageen
dc.publisherBiomed Central Ltd
dc.publisherLondon
dc.publisherInglaterra
dc.relationCardiovascular Ultrasound
dc.relationCardiovasc. Ultrasound
dc.rightsaberto
dc.sourceWeb of Science
dc.subjectHypertension
dc.subjectCognitive impairment
dc.subjectIntima-media thickness
dc.subjectCentral systolic blood pressure
dc.subjectMental-state-examination
dc.subjectWhite-matter Lesions
dc.subjectCanadian Consensus Conference
dc.subjectCardiovascular Risk-factor
dc.subjectCongestive-heart-failure
dc.subjectStage Renal-failure
dc.subjectAlzheimers-disease
dc.subjectCerebrovascular-disease
dc.subjectArterial Stiffness
dc.subjectElderly Population
dc.titleCarotid intima-media thickness is associated with cognitive deficiency in hypertensive patients with elevated central systolic blood pressure
dc.typeArtículos de revistas


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