ГоловнаArchive of numbers2020Volume 28, issue 2 (103)Features of cognitive disorders in patients with cardioembolic stroke
Title of the article Features of cognitive disorders in patients with cardioembolic stroke
Authors Mishchenko Tamara
Bokatuieva Viktoriia
Mishchenko Vladyslav
In the section PROBLEMATIC ARTICLES
Year 2020 Issue Volume 28, issue 2 (103) Pages 16-21
Type of article Scientific article Index UDK 616.831-004.6-005.1-036.8-052-036.65 Index BBK -
Abstract DOI: https://doi.org/10.36927/2079-0325-V28-is2-2020-3

 In the structure of all ischemic strokes, cardioembolic stroke (CES) takes 2nd place in prevalence after atherothrombotic. A frequent complication (CES) is cognitive impairment of varying severity. The key point of the research was to evaluate the characteristics of cognitive impairment in patients who underwent (CES) at different periods of treatment. 33 patients were examined in different periods after a stroke (acute — 10—21 days after the occurrence of CES and early recovery 40— 60 days after the occurrence of CES). In the group of men and women, patients aged from 61 to 70 years were significantly more likely to meet. The functional state of patients was evaluated by the Barthel index, on the Rankine scale. The definition of cognitive functions was carried out using the MMSE scale. The level of forming correlates with the level of restoration of cognitive functions and the level of their social adaptation. With the localization of lesions focuses in the vertebrobasilar pool, better recovery of cognitive functions is noted. Positive dynamics of cognitive impairment is noted in the early recovery period of CES in the direction of increasing scores on the MMSE scale compared with the acute period. A higher level of social adaptation determined by the Barthel index and the Rankine index contributes to a better recovery of cognitive functions of patients with CES.
Key words ischemic cardioembolicstroke, cognitive impairment, strokeperiods
Access to full text version of the article pdf download
Bibliography 1. Mishchenko T. S. Epidemiologiya tserebrovaskulyarnykh zabolevaniy i organizatsiya pomoshchi bolnym s mozgovym insultom v Ukraine // Ukraїnskiy vіsnik psikhonevrologії. 2017. T. 25. vip. 1 (90). S. 22—24. URL: http://nbuv.gov.ua/UJRN/Uvp_2017_25_1_5.
2. Narusheniya krovoobrashcheniya v golovnom i spinnom mozge / Damulin I. V.. Parfenov V. A.. Skoromets A. A. [i dr.]. V kn.: Bolezni nervnoy sistemy : rukovodstvo dlya vrachey / pod red. N. N. Yakhno. M.. 2005; S. 231—302.
3. Mishchenko T. S. Kognitivnyye narusheniya v praktike semeynogo vracha (aktualnost problemy. faktory riska. patogenez. vozmozhnosti lecheniya i profilaktiki // Cіmeyna meditsina. 2017. № 1 (69). URL: http://nbuv.gov.ua/UJRN/simmed_2017_1_6.
4. Evzelman M. A.. Aleksandrova N. A. Kognitivnyye narusheniya u bolnykh s ishemicheskim insultom i ikh korrektsiya // Zhurnal nevrologii i psikhiatrii. 2013. №10. S. 36—39.
5. Vishneva E. M. Vesnina N. S. Prediktory razvitiya kognitivnoy disfunktsii u bolnykh s arterialnoy gipertenziyey s tserebrovaskulyarnymi assotsiirovannymi klinicheskimi sostoyaniyami // Evraziyskiy Soyuz Uchenykh. 2019. № 6 (63).
6. Makin S. D., Turpin S., Dennis M. S., Wardlaw J. M. Cognitive impairment: after lacunar stroke: Systematic review and meta-analysis of incidence, prevalence and comparison with other stroke subtypes // J Neurol Neurosurg Psychiatry. 2013, 84: 893—900. DOI: 10.1136/jnnp-2012-303645.
7. Cognitive impairment in transient ischemic attack patients: A systematic review / Van Rooij F. G., Kessels R. P.,Richard E. [et al.] // Cerebrovasc Dis. 2016; 42: 9. DOI: https://doi.org/10.1159/000444282.
8. A systematic review of the definitions of vascular cognitive impairment, no dementia in Cohort studies / Harrison S. L, Tang E. Y., Keage H. A. [et al.] // Dement Geriatr Cogn Dis. 2016; 42: 69—79. DOI: 10.1159/000448213.
9. Meguro K., Dodge H. H. Vascular Mild Cognitive Impairment: Identifying Disease in Community-Dwelling Older Adults, Reducing Risk Factors, and Providing Support. The Osaki-Tajiri and Kurihara Projects // Journal of Alzheimer’s Disease. 2019; 1: 1—10. DOI: 10.3233/JAD-180899.
10. Erkmjuntti T., Ostbye T., Steenhuis R., Hachinski V. The effect of different diagnostic criteria on the prevalence of dementia // N Engl J Med. 1997; 337: 1667—74. DOI: 10.1056/NEJM199712043372306.
11. Pohjasvaara T., Erkinjuntti T., Vataja R., Kaste M. Dementia three months after stroke. Baseline frequency and effect of different definitions of dementia in the Helsinki Stroke Aging Memory Study (SAM) cohort // Stroke. 1997; 28: 785—92. DOI: 10.1161/01.str.28.4.785.
12. Pendlebury S. T., Rothweli P. M. Prevalence, incidence, and factors associated with pre-stroke and post-stroke dementia: a systematic review and meta-analysis // Lancet Neurol. 2009; 8: 1006—18. DOI: 10.1016/S1474-4422 (09)70236-4.
13. Cognitive impairment and dementia 20 months after stroke / Lindén T., Skoog I., Fagerberg B. [et al.] // Neuroepidemiology. 2004; 23: 45—52. DOI: 10.1159/000073974.
14. Dementia after ischemic stroke: a population-based study in Rochester, Minnesota (1960—1984) / Kokmen E., Whiswmt J. P., O’Fallon W. M. [et al.] // Neurology. 1996; 46: 154—9. DOI: 10.1212/wnl.46.1.154.
15. Dementia after stroke: the Framingham Study / Ivan C. S., Seshadri S., Beiser A. [et al.] // Stroke. 2004; 35: 1264—8. DOI: 10.1161/01.STR.0000127810.92616.78.
16. Vascular dementia: diagnostic criteria for research studies: report of the NINDS-AIREN International Workshop / Roman G. C., Tatemichi T. K., Erkinjuntti T. [et al.] // Neurology. 1993. Vol. 43, no. 2. P. 250—260. DOI: 10.1212/wnl.43.2.250.
17. EFNS guidelines for the diagnosis and management of Alzheimer`s disease / Hort J., O`Brien J. T., Gainotti G. [et al.] // Eur. J. Neurol. 2010. Vol. 17, no. 10. P. 1236—1248. DOI: 10.1111/j.1468- 1331.2010.03040.x.
18. Classification of subtype of acute ischemic stroke: definitions for use in a ulticenter clinical trial / Adams H. P., Bendixen B. H., Kappelle L. J. [et al.] // Stroke. 1993; 24 (1): 35—41. DOI: http://dx.doi.org/10.1161/01.STR.24.1.35.
19. Apixaban compared with warfarin in patients with atrial fibrillation and previous stroke or transient ischaemic attack: a subgroup analysis of the ARISTOTLE trial / Easton J., Lopes R., Bahit M. [et al.] // Lancet Neurol. 2012 Jun. Vol. 11 (6). P. 503—11. DOI: https://doi.org/10.1016/S1474-4422(12)70092-3.
20. Folstein M. F., Folstein S. E., McHugh P. R. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician // Journal of psychiatric research. 1975. Vol. 12, no. 3. P. 189—198.
21. 2018 Guidelines for the Early Management of Patients with Acute Ischemic Stroke: A Guideline for Healthcare Professionals from the American Heart Association / American Stroke Association / Powers W. J., Rabinstein A. A., Ackerson T. [et al.] // Stroke. 2018. Vol. 49 (3). P. 46—110. DOI: 10.1161/STR.0000000000000158.
22. Population prevalence, incidence, and predictors of atrial fibrillation in the Renfrew/Paisley study / Stewart S., Hart C. L., Hole D. J. [et al.] // Heart. 2001. No. 86. P. 516—521. DOI: 10.1136/ heart.86.5.516.
23. Gendernyye i vozrastnyye osobennosti faktorov riska insulta. Zdorovye — osnova chelovecheskogo potentsiala: problemy i puti ikh resheniya / Tibekina L. M.. Pushkarev M. S.. Filatov A. A. [i dr.]. 2018. T. 2 (13). S. 26—31. URL: https:// cyberleninka.ru/article/n/gendernye-i-vozrastnye-osobennostifaktorov-riska-insulta.
24. Zakharov V. V. Vakhnina N. V. Insult i kognitivnyye narusheniya // Nevrologiya. neyropsikhiatriya. psikhosomatika. 2011. T. 3. № 2. S. 11. DOI: https://doi.org/10.14412/2074-2711- 2011-141.
25. Damulin I. V.. Andreyev D. A.. Salpagarova Z. K. Kardioembolicheskiy insult // Tam zhe. 2015. T. 7. № 1. S. 80—86. DOI: https://doi.org/10.14412/2074-2711-2015-1-80-86.