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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

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