| Summary: | Background. The cognitive status in individuals with chronic obstructive pulmonary
disease (COPD) associated with arterial hypertension (AH) has not been adequately
studied. The aim of the work was to study the cognitive status of patients
with COPD associated with arterial hypertension and establish predictors of its deterioration.
Materials and methods. 30 patients with COPD were examined, 30 patients with
COPD associated with hypertension (COPD + AH), 30 healthy males. Researchers
evaluated the function of external respiration, determined the gas composition of the
blood, questionnaired using forms for Beck depression, Spielberg-Hanin anxiety,
and two-time testing using the Montreal cognitive function assessment scale
(MoCA).
Results. Patients with COPD and COPD + AH had low MoCA scores compared
to controls, but were comparable. Repeated testing with a difference of 12 months
showed the presence of negative dynamics in both nosological groups and revealed
correlations between the total score on the MoCA scale and the partial pressure of
oxygen and carbon dioxide in the blood, levels of reactive anxiety, and depression.
A reliably significant predictor of deterioration was the presence of exacerbations of
COPD.
Conclusions. In patients with COPD associated with hypertension, a decrease in
cognitive function was detected; MoCA scores are predicted by exacerbations over
the past year.
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