scholarly journals Excessive variability in systolic blood pressure that is self-measured at home exacerbates the progression of brain white matter lesions and cognitive impairment in the oldest old

2015 ◽  
Vol 39 (4) ◽  
pp. 245-253 ◽  
Author(s):  
Zhendong Liu ◽  
Yingxin Zhao ◽  
Hua Zhang ◽  
Qiang Chai ◽  
Yi Cui ◽  
...  
Stroke ◽  
2002 ◽  
Vol 33 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Richard J. Havlik ◽  
Daniel J. Foley ◽  
Bryan Sayer ◽  
Kamal Masaki ◽  
Lon White ◽  
...  

2006 ◽  
Vol 6 ◽  
pp. 494-501 ◽  
Author(s):  
Cristina Sierra ◽  
Antonio Coca

Although the pathogenesis and clinical significance of cerebral white matter lesions remain controversial, it is well established that age and hypertension are the most important factors related to the presence of these lesions. Hypertension is known to be the most important factor for developing stroke and vascular dementia. In addition, the presence of cerebral white matter lesions is an important prognostic factor for the development of stroke, and also for cognitive impairment and dementia. The mechanisms underlying hypertension-related cognitive changes are complex and are not yet fully understood. Correlations between cerebral white matter lesions and elevated blood pressure provide indirect evidence that structural and functional changes in the brain over time may lead to lowered cognitive functioning when blood pressure control is poor or lacking.Some authors have suggested that the presence of white matter lesions in hypertensive patients could be considered an early marker of brain damage.


2003 ◽  
Vol 15 (S1) ◽  
pp. 147-151 ◽  
Author(s):  
Charles DeCarli

Multiple epidemiological and brain imaging studies show a strong association between elevations in systolic blood pressure and lesions of cerebral white matter. The association between white-matter lesions and systolic blood pressure persists even if individuals are receiving treatment, suggesting that these individuals may be undertreated. In addition, these studies suggest that lesions of cerebral white matter may serve as markers for atherosclerotic vascular disease. Treatment strategies, therefore, should focus on early and aggressive management of elevated blood pressure, but definitions of elevated blood pressure may need to be revised downward to achieve best results.


2009 ◽  
Vol 32 (10) ◽  
pp. 869-874 ◽  
Author(s):  
Isha Shrestha ◽  
Tetsuya Takahashi ◽  
Eiichi Nomura ◽  
Toshiho Ohtsuki ◽  
Tomohiko Ohshita ◽  
...  

2007 ◽  
Vol 3 (3S_Part_2) ◽  
pp. S139-S139
Author(s):  
Samantha Galluzzi ◽  
Cristina Geroldi ◽  
Luisa Benussi ◽  
Roberta Ghidoni ◽  
Cristina Testa ◽  
...  

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