Comprehensive correction of cognitive impairment in patients of older age groups with chronic heart failure

Objective: to identify the features of changes in cognitive functions (CF) and systemic hemodynamic effects in patients of older age groups with chronic heart failure (CHF) in various treatment regimens, including the use of low-intensity laser radiation (LILR) and akatinol memantine. Material and Methods. The study was conducted on the basis of the Cardiology Department of the NKZ DKB with direct consultation of neurologists: 120 patients of both sexes (average age 77.3±2.2 years) with heart failure. LILR was carried out on a Mustang-2000 low-intensity magnetic laser radiation apparatus. The following scales were used to assess CF: Montreal Cognitive Assessment (MoCA); Mini-Mental State Examination (MMSE); Frontal Assessment Batter (FAB). Results. Patients of older age groups with heart failure receiving combination therapy using LILR have an improvement in CF and quality of life, there is a positive trend in intracardiac hemodynamics, characterizing the processes of diastolic function of the left ventricular myocardium, 6 months after the start of treatment. Conclusion. The best recovery of CF occurs with complex therapy using LILR.