Methodological aspects of constatation of Alzheimer disease as a cause of death in the elderly
https://doi.org/10.31363/2313-7053-2019-4-2-14-18
Abstract
In connection with the increase in the proportion of the elderly population, the multifaceted adverse significance of Alzheimer’s disease has recently been widely discussed, including its role as a cause of death. However, not always obvious influence of this disease on vital functions dictates the need for a differentiated methodological approach in this matter.
The authors consider the differences in the effects of generally accepted variants of the course of Alzheimer’s disease on the prognosis of patients, as well as the fact that clinically and morphologically mixed forms of this pathology with cerebrovascular disease are increasingly detected, which in turn leads the complications of the latter to be a cause of death in respective cases.
The general principles of the approach to solving the issue of the cause of death in elderly and senile people under the combined effect of the described cerebro-atrophic changes are formulated. At the same time, a sequence of arguments is proposed to consider Alzheimer’s disease as the cause of death.
About the Authors
N. G. Neznanov
National Medical Research Center of Psychiatry and Neurology named after V.M.Bekhterev; First St.Petersburg Medical University named after academician I.P.Pavlov
Russian Federation
Saint Petersburg.
Russian Federation
Saint Petersburg.
L. S. Kruglov
National Medical Research Center of Psychiatry and Neurology named after V.M.Bekhterev; St.Petersburg University
Russian Federation
Saint Petersburg.
Russian Federation
Saint Petersburg.
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Review
For citations:
Neznanov N.G., Kruglov L.S. Methodological aspects of constatation of Alzheimer disease as a cause of death in the elderly. V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY. 2019;(4-2):14-18. (In Russ.) https://doi.org/10.31363/2313-7053-2019-4-2-14-18
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