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Neurotherapeutics

, Volume 16, Issue 3, pp 569–579 | Cite as

Blood Pressure Control and Protection of the Aging Brain

  • Nasratullah Wahidi
  • Alan J. LernerEmail author
Review

Abstract

Hypertension and dementia are both common disorders whose prevalence increases with age. There are multiple mechanisms by which hypertension affects the brain and alters cognition. These include blood flow dynamics, development of large and small vessel pathology and diverse molecular mechanisms including formation of reactive oxygen species and transcriptional cascades. Blood pressure interacts with Alzheimer disease pathology in numerous and unpredictable ways, affecting both β-amyloid and tau deposition, while also interacting with AD genetic risk factors and other metabolic processes. Treatment of hypertension may prevent cognitive decline and dementia, but methodological issues have limited the ability of randomized clinical trials to show this conclusively. Recent studies have raised hope that hypertension treatment may protect the function and structure of the aging brain from advancing to mild cognitive impairment and dementia.

Key·Words

Hypertension Dementia Cognition Aging Alzheimer’s disease Mild cognitive impairment 

Notes

Supplementary material

13311_2019_747_MOESM1_ESM.pdf (510 kb)
ESM 1 (PDF 510 kb)

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Copyright information

© The American Society for Experimental NeuroTherapeutics, Inc. 2019

Authors and Affiliations

  1. 1.Department of NeurologyUniversity Hospitals Cleveland Medical CenterClevelandUSA
  2. 2.Case Western Reserve University School of MedicineClevelandUSA

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