Antihypertensive medications and dementia in older adults with hypertension

Suzanne G. Orchard, Zhen Zhou, Michelle Fravel, Joanne Ryan, Robyn L. Woods, Rory Wolfe, Raj C. Shah, Anne Murray, Ajay Sood, Christopher M. Reid, Mark R. Nelson, Lawrie Bellin, Kevan R Polkinghorne, Nigel Stocks, Michael E. Ernst
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Abstract

Background Studies on middle-aged or individuals with cognitive or cardiovascular impairments, have established that intensive blood pressure (BP) control reduces cognitive decline risk. However, uncertainty exists on differential effects between antihypertensive medications (AHM) classes on this risk, independent of BP-lowering efficacy, particularly in community-dwelling hypertensive older adults.
抗高血压药物与高血压老年人痴呆症
背景 对中年人或有认知障碍或心血管障碍的人进行的研究证实,加强血压(BP)控制可降低认知能力下降的风险。然而,降压药(AHM)类别对这一风险的不同影响还存在不确定性,这与降压疗效无关,尤其是在社区居住的高血压老年人中。
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