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The relationship between blood pressure and cognitive function
Open accessAbstract
The relationship between blood pressure (BP) and cognitive outcomes in elderly adults has implications for global health care. Both hypertension and hypotension affect brain perfusion and worsen cognitive outcomes. The presence of hypertension and other vascular risk factors has been associated with decreased performance in executive function and attention tests. Cerebrovascular reserve has emerged as a potential biomarker for monitoring pressure-perfusion-cognition relationships. A decline in vascular reserve capacity can lead to impaired neurovascular coupling and decreased cognitive ability. Endothelial dysfunction, microvascular disease, and mascrovascular disease in midlife could also have an important role in the manifestations and severity of multiple medical conditions underlying cognitive decline late in life. However, questions remain about the role of antihypertensive therapies for long-term prevention of cognitive decline. In this Review, we address the underlying pathophysiology and the existing evidence supporting the role of vascular factors in late-life cognitive decline.
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Metadata
- Authors
- Novak, V., & Hajjar, I.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Corresponding author
- Novak, Vera
- Venue
- Nature Reviews Cardiology
- Published
- 2010-10-26
- Volume
- 7
- Issue
- 12
- Pages
- 686-698
- ISSN
- 1759-5002 (ISSN-L)
- 1759-5010
- PMC
- PMC3328310
- OpenAlex
- W2048075564
- Cited by
- 299
- References
- 122
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- FWCI
- 2.77
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (1R01AG028076-A2, R01AG028076, P30AG028717, 1P01AG028717-01A2, K23AG030057)
- National Institute of Diabetes and Digestive and Kidney Diseases (R21DK084463)
- National Institute of Neurological Disorders and Stroke (R01NS045745)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Keywords
- blood pressure, cognitive decline, dementia, hypertension, hypotension, cerebral perfusion, cerebrovascular reserve, neurovascular coupling, vascular risk factors, endothelial dysfunction, microangiopathy, macroangiopathy, antihypertensive therapy, executive function, attention, older adults
- MeSH terms
- Age Factors, Aged, Aged, 80 and over, Antihypertensive Agents, Blood Pressure, Cognition, Cognition Disorders, Female, Humans, Hypertension, Hypotension, Male, Middle Aged, Risk Factors, Risk Assessment
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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