Is Mini‐Mental Score Examination Scoring a New Predictor of Uncontrolled Hypertension?

Essential hypertension is an important risk factor for target organ damage. The brain is among the target organs infrequently visited. The authors evaluated whether an abnormal Mini‐Mental Score Examination (MMSE) score predicts uncontrolled hypertension even if office blood pressure is normal. Seve...

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Bibliographic Details
Published in:The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2014-05, Vol.16 (5), p.348-353
Main Authors: Sayed, Khaled, Taha, Tamer T.I., Saad, Mohamad, Mohsen, Laila A., Ibrahiem, Mohamed A., Fadeel, Nashaat A.A., Sotouhy, Amr
Format: Article
Language:English
Subjects:
Aged
Blood Pressure - physiology
Blood Pressure Monitoring, Ambulatory
Brain - pathology
Brain - physiopathology
Cognition - physiology
Essential Hypertension
Female
Follow-Up Studies
Humans
Hypertension - diagnosis
Hypertension - physiopathology
Hypertension - psychology
Magnetic Resonance Imaging
Male
Neuropsychological Tests
Original Paper
Original Papers
Predictive Value of Tests
Reproducibility of Results
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Summary:Essential hypertension is an important risk factor for target organ damage. The brain is among the target organs infrequently visited. The authors evaluated whether an abnormal Mini‐Mental Score Examination (MMSE) score predicts uncontrolled hypertension even if office blood pressure is normal. Seventy‐seven hypertensive patients were included. The cognitive function of each patient was assessed using MMSE and a customized brain magnetic resonance imaging study. Patients were classified into normal cognitive function group and mild, moderate, and severe cognitive impairment groups. A significance level of P=.05 was used. There was a higher percentage of uncontrolled BP in every cognitive impairment class. In patients older than 65 years, MMSE score had a sensitivity and specificity of 94% and 83%, respectively, in the prediction of uncontrolled hypertension. MMSE is a simple test to run in the clinic to predict whether patients have well‐controlled blood pressure.
ISSN:1524-6175
1751-7176
DOI:10.1111/jch.12319