Affiliation:
1. IVANO-FRANKIVSK NATIONAL MEDICAL UNIVERSITY, IVANO-FRANKIVSK, UKRAINE
Abstract
The aim: To determine whether certain cognitive domains exist in the assessment of cognitive functions in HD patients, patients with hypothyroidism and HD patients with concomitant hypothyroidism.
Materials and methods:The patients were divided into 3 groups according to nosology: Group I – 21 patients with hypertensive disease (HD); Group II – 18 patients with hypothyroidism, Group III – 19 hypertensive patients with concomitant hypothyroidism.
Results:It was revealed that patients with HD had a decrease in memory according to the test proposed by A.R. Luria for learning 10 words, (p<0.05), as well as Digit span from Mattisse scale, (p<0.05). In patients with hypothyroidism, a short span of attention was revealed, according to the method of “Selectivity of attention” (G. Munsterberg test), (p<0.05). The analysis of the results showed that considering the interaction of factors (HD and hypothyroidism), the most affected cognitive domains are memory, executive functions and optical-spatial functions, respectively, (p<0.05).
Conclusions: To diagnose CI in patients with HD who have problems with the domain of cognitive function memory, it is advisable to use a test for learning 10 words according to the method proposed by A.R. Luria and Digit span from Mattisse scale. In patients with hypothyroidism, attention and executive functions should be determined using the Schulte Tables and the “Selectivity of Attention” method (G. Munsterberg test). With the combined pathology, HD patients with a concomitant hypothyroidism should use Schulte Tables, test for learning 10 words by A.R. Luria and Clock Drawing Test.
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