Abstract
A postal questionnaire concerning the management of cognitive impairment of vascular origin was completed by 88 psychogeriatricians and 100 geriatricians. Aspirin was considered an important part of management, and clinically indicated with: a history, or clinical signs of stroke; computerised tomography (CT) scan changes suggestive of cerebrovascular disease; and atrial fibrillation. Advanced dementia was seen as a contraindication for treatment. Eighty per cent of responders indicated they would institute antihypertensive therapy in an elderly patient with a history of raised blood pressure and cognitive impairment. The median lower limit of systolic blood pressure requiring treatment was 160 mmHg, with a treatment target blood pressure of 150 mmHg.
Highlights
A postal questionnaire concerning the management of cognitive impairment of vascular origin was completed by 88 psychogeriatricians and 100 geriatricians
The majority of clinicians (90: 48%) felt that cerebrovascular disease was responsible for less than 30% of patients they saw with cognitive impairment, and 72 (38%) for 30-50%
There were high rates of potential aspirin therapy in patients with a history or clinical signs of stroke, and brain computed tomography sugges tive of cerebrovascular disease
Summary
A postal questionnaire concerning the management of cognitive impairment of vascular origin was completed by 88 psychogeriatricians and 100 geriatricians. We conducted a postal survey of psychogeria tricians and physicians examining the manage ment of patients with vascular-related cognitive impairment. The majority of clinicians (90: 48%) felt that cerebrovascular disease was responsible for less than 30% of patients they saw with cognitive impairment, and 72 (38%) for 30-50%
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