International Journal of Medicine Research

Authors
RS Deepak, Alok Ghanate, RS Karthik, GS Ashwini

Abstract

Introduction: Evidence presented suggests that raised blood pressure levels contribute to cognitive impairment in susceptible people (especially in concomitant conditions which predispose to cerebral ischemia).

Methodology: 50 hypertensives were taken for the study, assessed and analyzed. The samples were matched for age, sex, education and socio-economic status. The tools used were socio-demographic data and clinical proforma, SMMSE (Standardized Mini Mental Status Examination) scale and BCRS (Brief Cognitive Rating Scale). They’re very significant cognitive deficits measured by SMMSE on orientation and constructional ability and in BCRS it was in orientation only.

Results: Mean age being 51.4 years, predominant being male sex, educated upto primary school (i.e., 5th std), residing in urban areas, married and earning less than Rs. 2,500/- per month. A significant number of cases were Hindus i.e, 46% in the hypertensive group. Occupational background showed there were more non-agricultural laborers i.e., 42% in cases. The mean duration of hypertension was 5.2 years which was statistically very highly significant in cases. The mean systolic blood pressure was 164 mmHg which was statistically very highly significant in cases. The mean diastolic blood pressure was 103 mm Hg which was statistically very highly significant in cases.

Conclusion: The overall cognitive decline on both SMMSE and BCRS scores were very highly significant, thus signifying a global cognitive decline.