Validation of the Montreal Cognitive Assessment Versus Mini-Mental State Examination Against Hypertension and Hypertensive Arteriopathy After Transient Ischemic Attack or Minor Stroke

Lack of reduced cognitive impairment with blood pressure (BP) lowering in trials may reflect use of the Mini-Mental State Examination (MMSE), which is insensitive to mild cognitive impairment after cerebrovascular events compared with the Montreal Cognitive Assessment. We determined relationships be...

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Bibliographic Details
Published in:Stroke (1970) 2014-11, Vol.45 (11), p.3337-3342
Main Authors: WEBB, Alastair J. S, PENDLEBURY, Sarah T, LINXIN LI, SIMONI, Michela, LOVETT, Nicola, MEHTA, Ziyah, ROTHWELL, Peter M
Format: Article
Language:English
Subjects:
Aged
Arterial hypertension. Arterial hypotension
Biological and medical sciences
Blood and lymphatic vessels
Brief Psychiatric Rating Scale - standards
Cardiology. Vascular system
Cognition Disorders - diagnosis
Cognition Disorders - epidemiology
Cognition Disorders - psychology
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Female
Follow-Up Studies
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
Hypertension - diagnosis
Hypertension - epidemiology
Hypertension - psychology
Ischemic Attack, Transient - diagnosis
Ischemic Attack, Transient - epidemiology
Ischemic Attack, Transient - psychology
Male
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Neurology
Neuropsychological Tests - standards
Quebec
Stroke - diagnosis
Stroke - epidemiology
Stroke - psychology
Vascular Calcification - diagnosis
Vascular Calcification - epidemiology
Vascular Calcification - psychology
Vascular diseases and vascular malformations of the nervous system
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Summary:Lack of reduced cognitive impairment with blood pressure (BP) lowering in trials may reflect use of the Mini-Mental State Examination (MMSE), which is insensitive to mild cognitive impairment after cerebrovascular events compared with the Montreal Cognitive Assessment. We determined relationships between impairment on MMSE versus Montreal Cognitive Assessment (MoCA) with the major physiological determinant of vascular cognitive impairment: hypertension and hypertensive arteriopathy. Cognitive impairment in consecutive patients 6 months after transient ischemic attack or minor stroke was defined as significant, mild, or none (MMSE
ISSN:0039-2499
1524-4628
DOI:10.1161/strokeaha.114.006309