Does Preventing Stroke Prevent All Kinds of Dementia?

Preventing dementia by treating hypertension and preventing stroke.

In this issue of Hypertension, Korf et al 1 report from the Honolulu Asia Aging Study that untreated hypertension was significantly associated with hippocampal atrophy. They had previously shown that untreated hypertension was associated with midlife cognitive decline2 and with Alzheimer disease and vascular dementia.3 This new finding strengthens the value of hippocampal atrophy as an early pr...

Preventing stroke: does race/ethnicity matter?

Stroke, the third leading cause of death in the United States, is also the chief cause of neurological disability in the elderly. Lifetime risk of stroke at age 65 years is estimated to be 1 in 5 in women and 1 in 6 in men in the Framingham Study population.1 Despite improvements in management of the acute stroke and in rehabilitation poststroke, it is clear that prevention holds the key to dec...

Does lowering blood pressure prevent recurrent stroke?

Question In patients with a history of stroke or transient ischaemic attack, can further stroke be prevented by lowering blood pressure, even when it is not elevated? Commentary Rationale for the trial About one in five stroke survivors suffer another stroke in the five years after the initial incident. 1 Blood pressure is related in a continuous manner to the risk of an initial stroke, but man...

Preventing Alzheimer's dementia.

Around 50 million people worldwide have dementia, and with numbers rising because of increasing longevity it is one of the biggest global health and socioeconomic challenges. However, declining incidence in several countries give us hope that dementia can be prevented by changing lifestyles. There are many putative risk factors, but the Lancet Commission on Dementia calculated that nine factors...

B-trees: Bearing Fruits of All Kinds