Antihypertensives in dementia: Good or bad for the brain?


Journal

Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism
ISSN: 1559-7016
Titre abrégé: J Cereb Blood Flow Metab
Pays: United States
ID NLM: 8112566

Informations de publication

Date de publication:
10 2023
Historique:
medline: 23 10 2023
pubmed: 27 5 2023
entrez: 27 5 2023
Statut: ppublish

Résumé

We discuss the current evidence for both benefit and harm of antihypertensive treatment in people with dementia. We conclude that there is a lack of evidence to support the claim that there is an increased risk of cerebral hypoperfusion with antihypertensive treatment in dementia, and that there is growing evidence which refutes this claim.

Identifiants

pubmed: 37243524
doi: 10.1177/0271678X231179421
pmc: PMC10581244
doi:

Substances chimiques

Antihypertensive Agents 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1796-1799

Déclaration de conflit d'intérêts

Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Références

Ann Intern Med. 2021 Jan;174(1):58-68
pubmed: 32909814
Alzheimers Dement. 2023 Feb;19(2):532-548
pubmed: 35485906
N Engl J Med. 2021 Sep 30;385(14):1268-1279
pubmed: 34491661
Physiol Rev. 2021 Oct 1;101(4):1487-1559
pubmed: 33769101
JAMA Intern Med. 2022 Jun 1;182(6):660-667
pubmed: 35532917
Eur Heart J. 2022 Dec 21;43(48):4980-4990
pubmed: 36282295
JAMA. 2019 Feb 12;321(6):553-561
pubmed: 30688979
Cereb Circ Cogn Behav. 2021 Jul 10;2:100024
pubmed: 36324723
Hypertension. 2022 May;79(5):1067-1078
pubmed: 35193363
Hypertension. 2018 Jul;72(1):139-150
pubmed: 29844143

Auteurs

Rachel Am Heutz (RA)

Department of Geriatric Medicine, Radboudumc Alzheimer Center, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.

Ralf Wj Weijs (RW)

Department of Geriatric Medicine, Radboudumc Alzheimer Center, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Department of Medical BioSciences, Radboud University Medical Center, Nijmegen, The Netherlands.

Rianne Aa de Heus (RA)

Department of Geriatric Medicine, Radboudumc Alzheimer Center, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.

Jurgen Ahr Claassen (JA)

Department of Geriatric Medicine, Radboudumc Alzheimer Center, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Department of Cardiovascular Sciences, University of Leicester, Leicester, UK.

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Classifications MeSH