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Is Mini‐Mental Score Examination Scoring a New Predictor of Uncontrolled Hypertension?
Authors:Khaled Sayed MD  Tamer TI Taha MD  Mohamad Saad MD  Laila A Mohsen MD  Mohamed A Ibrahiem MD  Nashaat AA Fadeel MD  Amr Sotouhy MSc
Institution:1. Cardiology Department, Al‐Minya University Hospital, , Al‐Minya, Egypt;2. Radiology Department, Al‐Minya University Hospital, , Al‐Minya, Egypt;3. Neuro‐psychiatry Department, Al‐Minya University Hospital, , Al‐Minya, Egypt
Abstract: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.
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