Blood Pressure and Cognitive Function in Older Adults

Clin Geriatr Med. 2024 Nov;40(4):597-613. doi: 10.1016/j.cger.2024.04.003. Epub 2024 May 9.

Abstract

This review explores the extensive evidence linking hypertension with vascular cognitive impairment and dementia, emphasizing its role as a treatable risk factor. Drawing on observational data, it will elucidate how the chronicity of hypertension at different life stages amplifies cognitive decline risk. It explores the mechanisms underlying hypertension's association with dementia, assesses the neuroprotective properties of antihypertensive therapy, and evaluates novel blood pressure metrics and monitoring methods for their diagnostic and therapeutic potential in dementia management.

Keywords: Aging; Blood pressure; Cognition; Dementia; Hypertension; Prevention; Treatment.

Publication types

  • Review

MeSH terms

  • Aged
  • Antihypertensive Agents* / therapeutic use
  • Blood Pressure* / physiology
  • Cognition / physiology
  • Cognitive Dysfunction* / etiology
  • Dementia
  • Humans
  • Hypertension*
  • Risk Factors

Substances

  • Antihypertensive Agents