DESIGNING A SPECIALIZED ALGORITHM FOR COGNITIVE STATUS MONITORING IN CHRONIC HEART FAILURE PATIENTS

Аннотация

Cognitive impairment in patients with chronic heart failure remains one of the most pressing problems in neurology, and the urgency of the problem is determined by the frequency of complications resulting from this pathology and the lack of adequate effective treatment. Keywords. cardiovascular disease, Chronic heart failure, prevalence, etiology, prognosis, mortality. Chronic heart failure (CHF) is one of the most common and prognostically uncomfortable complications of cardiovascular disease. (1.2). The problem of chronic heart failure is becoming increasingly relevant in elderly patients. The trend of increasing population in the elderly, new cases of patients with chronic heart failure is constantly growing and requires the search for new approaches to optimize such patients at different stages of care, both inpatient and in care. (4). The occurrence of somatic and affective disorders in some patients, along with cardiac pathologies, makes it difficult to make a correct diagnosis of the disease in a timely manner. The negative impact of these diseases on the course and prognosis of the disease, adherence to treatment, quality of life, the formation of an adequate response to the disease cause additional difficulties in treatment and communication problems (6). In his scientific work, Andrei Viktorovich (3.14) considered the development of a program such as an outpatient training program for the treatment of chronic heart failure as a new method of treating patients. https://scientific-jl.org/obr 2 2 Выпуск журнала №-70 Часть–2_ Мая –2025 ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ 2181-3187 Chronic heart failure is an important medical, social, and economic problem, representing a new epidemic of cardiovascular disease (SVD), affecting approximately 5.8 million people in the United States and more than 23 million citizens worldwide (9). In Western countries, the prevalence of chronic heart failure varies from 1% to 2% (5-10 people per 1,000) and is 10% or more among people over the age of 70 (12). In our country, the prevalence of chronic heart failure detected on the basis of clinical signs reached 11.7%, the variability in different regions ranged from 7 to 17%. In hospitalized patients, the diagnosis was confirmed in 78.8% of cases (5). The main clinical-epidemiological and economic indicators of chronic heart failure (prevalence, etiology, prognosis, mortality) significantly affect the age, sex, ethnic and social differences of the studied population. Thus, chronic heart failure is higher in developed countries than in developing countries. However, by 2050, an increase in the number of cases of chronic heart failure will be clearly detected in underdeveloped industrialized countries (12). The prevalence, prevalence, and mortality of chronic heart failure remain high and the prognosis remains poor. According to the American Heart Association (ANA), in 2008, chronic heart failure was identified as the leading cause of death in 283,000 people (4). The economic costs associated with chronic heart failure are estimated at billions of dollars per year. The results of modern pharmacoeconomic analysis show that the cost of treating chronic heart failure in Europe and the US ranges from 1% to 2% of the health budget, 5 times higher than the cost of treating all forms of these safe pathologies, the frequency of hospitalization of patients with chronic heart failure is sufficiently high and stable. continues. Increased life expectancy, improved treatment of cardiovascular disease, as well as risk factors for the development of ischemic heart disease (IBS), especially in countries with transition economies, explain the increase in the prevalence and prevalence of heart failure worldwide (11). The need for repeated hospitalization due to decompensated chronic heart failure significantly increases the financial cost of treating such patients (7.16). Thus, despite all the achievements of modern medicine, chronic heart failure is a heavy burden both https://scientific-jl.org/obr 2 3 Выпуск журнала №-70 Часть–2_ Мая –2025 ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ 2181-3187 in Uzbekistan and in the world health system. For the first time, chronic heart failure began to be seen as a serious social problem. In 2003, U.S. hospital statistics set a record: the number of patients with chronic heart failure exceeded 1 percent of hospital admissions, and the frequency of initial diagnoses of chronic heart failure was 2 per 1,000 people. (13). In a Framing study (1970), it was found that the survival rate of patients with newly diagnosed heart failure was 62% in men and 42% in women (9). Chronic heart failure is now considered a disease that can lead to other diseases in itself. Talking about cognitive impairment in cardiovascular disease (CVD) It should be noted that in chronic heart failure, cognitive functions are the most important process of rational cognition of the complex functions of the brain. Symptoms of co