Vascular_Dementia_Flashcards
How is vascular dementia characterized?
‘Step-wise’ progression and multi-faceted impairment of cognitive function.
What is the key to preventing further cerebrovascular disease in people with a history of stroke or TIA?
Optimal control of major risk factors.
What are the risk factors for vascular dementia?
Risk factors include age, male gender, hypertension, hypercholesterolaemia, and obesity.
How should hypertension be managed in vascular dementia patients?
Hypertension should be managed with anti-hypertensives.
What treatment is recommended for elevated LDL cholesterol in vascular dementia patients?
Statins are recommended for elevated LDL cholesterol.
How should diabetes mellitus be managed in vascular dementia patients?
Glycemic control should be optimized in diabetes mellitus.
What is the recommended therapy for atherosclerotic ischaemic disease in vascular dementia patients?
Antiplatelet therapy (aspirin) and lifestyle modification are recommended for atherosclerotic ischaemic disease.
When should acetylcholinesterase inhibitors or memantine be considered in vascular dementia patients?
Consider acetylcholinesterase inhibitors or memantine for comorbid Alzheimer’s disease, Parkinson’s disease dementia, or DLB.
What treatment is recommended for cardioembolic disease in vascular dementia patients?
Anticoagulation or antiplatelet therapy and lifestyle modification are recommended for cardioembolic disease.
What is the treatment recommendation for carotid stenosis greater than 70% in vascular dementia patients?
Carotid endarterectomy is recommended for carotid stenosis greater than 70%.
