Hypertension and the Risk of Dementia

Frontiers in Cardiovascular Medicine

article

Cristina Sierra¹ 

[1] Hypertension & Vascular Risk Unit, Internal Medicine Department, Hospital Clinic of Barcelona (IDIBAPS), University of Barcelona

关键词: essential hypertension;    cognitive function;    cognitive impairment;    dementia;    high blood pressure;    antihypertensive treatment;   

DOI  :  10.3389/fcvm.2020.00005

学科分类：地球科学(综合)

来源: Frontiers

【 摘 要 】

Hypertension, particularly midlife high blood pressure, has been related to a higher risk of cognitive decline and dementia, including Alzheimer disease. However, these associations are complex and not fully elucidated. Cerebral small vessel disease emerges as one of the most important causes. Several observational studies have shown the potential beneficial role of antihypertensive treatment in preventing cognitive decline. However, randomized clinical trials (RCTs) have shown controversial results without proving nor disproving the association. On the other hand, in very elderly or frail people some studies have observed a relationship between low blood pressure and worse cognitive function. The optimal systolic and diastolic blood pressure values for protecting cognitive function, especially in elderly people, are not known.

【 授权许可】

CC BY