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Management of cognitive impairment of vascular origin

Published online by Cambridge University Press:  02 January 2018

Michael Dennis  and
Ann Boyle
Michael Dennis*
Affiliation:
Division of Psychiatry for the Elderly, Leicester General Hospital Gwendolen Road, Leicester LE5 4PW
Ann Boyle
Affiliation:
Glenfield General Hospital, Leicester
*
∗Correspondence
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Abstract

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A postal questionnaire concerning the management of cognitive impairment of vascular origin was completed by 88 psychogeriatricians and 100 geriatricians. Aspirin was considered an important part of management, and clinically indicated with: a history, or clinical signs of stroke; computerised tomography (CT) scan changes suggestive of cerebrovascular disease; and atrial fibrillation. Advanced dementia was seen as a contraindication for treatment. Eighty per cent of responders indicated they would institute antihypertensive therapy in an elderly patient with a history of raised blood pressure and cognitive impairment. The median lower limit of systolic blood pressure requiring treatment was 160 mmHg, with a treatment target blood pressure of 150 mmHg.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 22 , Issue 5 , May 1998 , pp. 285 - 287
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

References

Amar, K. & Wilcock, G. (1996) Vascular dementia. British Medical Journal, 312, 227–231.Google Scholar
Antiplatelet Trialists Collaboration (1994) Collaborative overview of randomised trials of antiplatelet therapy - 1: Prevention of death, myocardial infarction, and stroke by prolonged antiplatelet therapy in various categories of patients. British Medical Journal, 308, 81–106.Google Scholar
Jones, T., Gerrity, M. & Earp, J. (1990) Written case simulations: Do they predict physicians' behaviour? Journal of Clinical Epidemiology, 43, 805–815.CrossRefGoogle Scholar
Lip, G. & Lowe, G. (1996) Antithrombotic treatment for atrial fibrillation. British Medical Journal, 312, 45–49.Google Scholar
Meyer, J., Judd, B., Tawaklna, T., et al (1986) Improved cognition after control of risk factors for multi-infarct dementia. Journal of the American Medical Association, 256, 2203–2209.CrossRefGoogle ScholarPubMed
Meyer, J., Rogers, R., McClintick, K., et al (1989) Randomised clinical trial of daily aspirin therapy in multi-infarct dementia. A pilot study. Journal of the American Geriatrics Society, 37, 549–555.Google Scholar
Medical Research Council Working Party (1992) Medical Research Council trial of treatment of hypertension in older adults: principal results. British Medical Journal, 304, 405–412.Google Scholar
Ott, A., Breteler, M., Van Harskamp, F., et al (1995) Prevalence of Alzheimer's disease and vascular dementia: association with education. The Rotterdam study. British Medical Journal, 310, 970–973.CrossRefGoogle ScholarPubMed
Rocca, W., Hofman, A., Brayne, C., et al (1991) The prevalence of vascular dementia in Europe: Facts and fragments from 1980–1990 studies. Annals of Neurology, 30, 817–824.Google Scholar
Sanderson, S. (1996) Hypertension in the elderly: pressure to treat? Health Trends, 28, 71–75.Google Scholar
Spss for Windows (1993) Statistical Package for the Social Sciences. Chicago, IL: SPSS.Google Scholar
Starr, J., Inch, S., Cross, S., et al (1996) Blood pressure and mortality in healthy old people: the r-shaped curve. British Medical Journal, 313, 1243–1244.Google Scholar
Tomlinson, B., Blessed, G. & Roth, M. (1970) Observations on the brains of demented old people. Journal of Neurological Science, 11, 205–242.Google Scholar
Weil, J., Colin-Jones, D., Langman, M., et al (1995) Prophylactic aspirin and risk of peptic ulcer bleeding. British Medical Journal, 310, 827–830.Google Scholar
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