Vnitr Lek 2011, 57(9):751-754

The importance of antihypertensive therapy in subclinical brain damage

M. Souček*, I. Řiháček, P. Fráňa, M. Plachý
II. interní klinika Lékařské fakulty MU a FN u sv. Anny v Brně, přednosta prof. MUDr. Miroslav Souček, CSc.

Older patients are often affected by impaired cognitive function and high blood pressure. Damage to microcirculation of the brain is closely related to changes in large vessels. High blood pressure and vascular stiffness might lead to a damage in microcirculation of the brain and, consequently, to worsening of the patient's cognitive function and dementia. We discuss early diagnosis of subclinical brain damage using magnetic resonance and its preventive management with antihypertensive therapy.

Keywords: hypertension; cognitive function; dementia; brain microcirculation; prevention of subclinical brain damage

Received: July 28, 2011; Published: September 1, 2011  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Souček M, Řiháček I, Fráňa P, Plachý M. The importance of antihypertensive therapy in subclinical brain damage. Vnitr Lek. 2011;57(9):751-754.
Download citation

References

  1. Rocca WA, Hofman A, Brayne C et al. The prevalence of vascular dementia in Europe: facts and fragments from 1980-1990 studies. EURODEM - Prevalence Research Group. Ann Neurol 1991; 30: 817-824. Go to original source... Go to PubMed...
  2. Melzer D, Ely M, Brayne C. Cognitive impairment in elderly people: population based estimate of the future in England, Scotland, and Wales. BMJ 1997; 315: 462. Go to original source... Go to PubMed...
  3. Mancia G, Laurent S, Agabiti-Rosei E et al. European Society of Hypertension. Reappraisal of European guidelines on hypertension management: a European Society of Hypertension Task Force document. J Hypertens 2009; 27: 2121-2158. Go to original source... Go to PubMed...
  4. Scuteri A, Najjar SS, Orru' M et al. Age- and gender-specific awareness, treatment, and control of cardiovascular risk factors and subclinical vascular lesions in a founder population: the SardiNIA Study. Nutr Metab Cardiovasc Dis 2009; 19: 532-541. Go to original source... Go to PubMed...
  5. Laurent S, Boutouyrie P, Asmar R et al. Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients. Hypertension 2001; 37: 1236-1241. Go to original source... Go to PubMed...
  6. Silvestrini M, Gobi B, Pasqualetti P et al. Carotid atherosclerosis and cognitive decline in patients with Alzheimer's disease. Neurobiol Aging 2009; 30: 1177-1183. Go to original source... Go to PubMed...
  7. Hanon O, Haulon S, Lenoir H et al. Relationship between stiffness and cognitive function in elderly subjects with complaints of memory loss. Stroke 2005; 36: 2193-2197. Go to original source... Go to PubMed...
  8. Laurent S, Briet M, Boutouyrie P. Large and small artrery gross-talk and recent morbidity-mortality trials in hypertension. Hypertension 2009; 54: 388-392. Go to original source... Go to PubMed...
  9. Safar ME, Lacolley P. Disturbance of macro- and microcirculation: relations with pulse pressure and cardiac organ damage. Am J Physiol Heart Circ Physiol 2007; 293: H1-H7. Go to original source... Go to PubMed...
  10. O'Rourke MF, Safar ME. Relationship between aortic stiffening and microvascular disease in brain and kidney: cause and logic to therapy. Hypertension 2005; 46: 200-204. Go to original source... Go to PubMed...
  11. Farasat SM, Morrell CH, Scuteri A et al. Pulse pressure is inversely related to aortic root diameter implications for the pathogenesis of systolic hypertension. Hypertension 2008; 51: 196-202. Go to original source... Go to PubMed...
  12. Longstreth WT Jr, Manolio TA, Arnold A et al. Clinical correlates of white matter findings on cranial magnetic resonance imaging of 3 301 elderly people: the cardiovascular health study. Stroke 1996; 27: 1274-1282. Go to original source... Go to PubMed...
  13. Vermeer SE, Longstreth WT Jr, Koudstaal PJ. Silent brain infarcts: a systematic review. Lancet Neurol 2007; 6: 611-619. Go to original source... Go to PubMed...
  14. de Leeuw FE, De Groot JC, Oudkerk M et al. Hypertension and cerebral white matter lesions in a prospective cohort study. Brain 2002; 125: 765-772. Go to original source... Go to PubMed...
  15. Havlik RJ, Foley DJ, Sayer B et al. Variability in midlife systolic blood pressure is related to late-life brain white matter lesions: the Honolulu-Asia Aging study. Stroke 2002; 33: 26-33. Go to original source... Go to PubMed...
  16. Vermeer SE, Prins ND, den Heijer T et al. Silent brain infarcts and the risk of dementia and cognitive decline. N Engl J Med 2003; 348: 1215-1222. Go to original source... Go to PubMed...
  17. Prins ND, Van Dijk EJ, den Heijer T et al. Cerebral white matter lesions and the risk of dementia. Arch Neurol 2004; 61: 1531-1534. Go to original source... Go to PubMed...
  18. Godin O, Dufouil C, Maillard P et al. White matter lesion as a predictor of depression in the elderly: The 3C-Dijon study. Biol Psychiatry 2008; 63: 663-669. Go to original source... Go to PubMed...
  19. Dufouil C, Gordin O, Chalmers J et al. PROGRESS MRI Substudy Investigators. Severe cerebral white matter hyperintensities predict severe cognitive decline in patients with cerebrovascular disease history. Stroke 2009; 40: 2219-2221. Go to original source... Go to PubMed...
  20. Snowdon DA, Greiner LH, Mortimer LA et al. Brain infarction and the clinical expression of Alzheimer disease: the Nun study. JAMA 1997; 277: 813-817. Go to original source... Go to PubMed...
  21. Buyck JF, Dufouil C, Mazoyer B et al. Cerebral white matter lesions are associated with the risk of stroke but not with other vascular events. The 3c-Dijon Study. Stroke 2009; 40: 2327-2331. Go to original source... Go to PubMed...
  22. Kearney-Schwartz A, Rossignol P, Bracard S et al. Vascular structure and function is correlated to cognitive performance and white matter hyperintensities in older hypertensive patients with subjective memory complaints. Stroke 2009; 40: 1229-1236. Go to original source... Go to PubMed...
  23. Henskens LH, van Oostenbrugge RJ, Kroon AA et al. Detection of silent cerebrovascular disease refines risk stratification of hypertensive patients. J Hypertens 2009; 27: 846-853. Go to original source... Go to PubMed...
  24. Neal B, Chapman N, Chalmers J et al on behalf of the PROGRESS Collaborative Group. Cardiac outcomes in the Perindopril Protection Against Recurrent Stroke Study. J Hypertens 2002; 20 (Suppl 4): S169.




Vnitřní lékařství

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.