Experience of studying cerebral disorders in women in menopause

The incidence of arterial hypertension (AH) in women increases significantly with the onset of menopause. Age-related hypoestrogenism leads both to an increase in blood pressure (BP) and to a violation of its daily profile. It can lead to impaired cerebral blood flow. Objective: to study the features of cerebral disorders in women in the perimenopausal period with and without hypertension using rheoencephalography, as well as their relationship with some indicators of the daily blood pressure profile. Materials and methods. A clinical and instrumental examination of 190 women in the climacteric period (141 people with hypertension and 49 without hypertension) was carried out, who were divided into groups depending on the presence of hypertension and the period of perimenopause. Instrumental research included 24-hour blood pressure monitoring and rheoencephalography. Results. The onset of menopause was accompanied by an increase in the degree of arterial hypertension, with an increase mainly in systolic blood pressure. Changes in its daily profile was also noted, especially insufficient or excessive decrease at night, as well as an increased speed and magnitude of the morning rise both in women with hypertension and without it. The revealed disorders were more pronounced in postmenopausal women and were accompanied by changes in cerebral circulation, which can lead to ischemic and hemorrhagic cerebral complications. Conclusion. Comparison of indicators of rheoencephalography and daily monitoring of blood pressure in menopausal women revealed changes in cerebral circulation, most pronounced in the presence of arterial hypertension and after menopause.

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