FEATURES OF CEREBRAL HEMODYNAMICS IN PATIENTS AFTER STROKE DEPENDING ON THE VARIABILITY OF BLOOD PRESSURE AND THEIR QUALITY OF LIFE

Abstract

The aim: To study cerebral hemodynamics in patients after ischemic stroke (IS) depending on the variability of blood pressure (BP) and to assess the quality of life (QOL). Materials and methods: The study included 90 patients of SIS «RSCPC» SAD aged 33 to 72 years: The 1st (main) group consisted of 30 patients with ischemic stroke (IS) on the background of hypertension (HTN) with mild neurological deficits; 2nd – 30 patients who have been suffering from HTN for more than 10 years and have manifestations of dyscirculatory encephalopathy of I-II stage.; 3rd group – 30 patients who did not suffer from HTN. Results: Variability of blood pressure in patients with ischemic stroke with mild neurological deficits on the background of hypertension (hypertension) did not differ significantly from that in patients with hypertension with more than 10 years of experience, but their cerebral blood flow rate was significantly lower. Neurological functions, cognitive and psycho-emotional statuses and, as a consequence, quality of life were also significantly worse in patients after stroke. Conclusions: cerebral disorders and quality of life in patients after stroke are associated with decreased cerebral blood flow, regardless of the variability of blood pressure.