Orlando Sentinel (Sunday)

High blood pressure’s link to dementia

- Amanda Fletcher, MD

As we get older, it’s inevitable that we’ll experience a bit of memory loss. The brain, just like every other part of our bodies, loses some of its ability to function at peak levels. But severe symptoms could be a sign of dementia, and one cause might be surprising: high blood pressure.

In fact, hypertensi­on is one of the biggest risk factors for dementia.

“It’s important to understand why hypertensi­on can lead to cognitive decline,” says Dr. Amanda Fletcher, a fellowship-trained neurologis­t with Orlando Health Neuroscien­ce Institute. Why the connection? The brain receives about 20 percent of the body’s blood supply. If anything blocks or slows that blood flow, the brain can be hurt. With uncontroll­ed blood pressure, the vessels can become scarred, narrowed or diseased.

Numerous studies have shown that hypertensi­on increases the risk for cognitive impairment, dementia and Alzheimer’s disease. In one study, participan­ts with hypertensi­on were nearly three times as likely to experience cognitive decline when assessed after four years.

When to worry

“Most of us misplace our keys or forget a name every now and then,” Dr.

Fletcher says. “But if you start noticing persistent and troubling symptoms, it may be time to see a doctor.”

Watch for:

• Changes in memory that are different or more extreme than usual

• Difficulty communicat­ing (not being able to find words, etc.)

• Getting lost

• Trouble completing everyday tasks If you have hypertensi­on and are

struggling with cognitive issues, you should see a healthcare provider for evaluation and better control of your blood pressure.

When blood pressure is managed through medication, diet, weight loss and/or exercise, impairment symptoms may improve or, in best-case scenarios, even disappear.

“If the damage is permanent,” Dr. Fletcher says, “the goal is to keep it from getting worse.”

 ?? ??
 ?? ?? Studies have shown that hypertensi­on increases the risk for Alzheimer’s disease.
Studies have shown that hypertensi­on increases the risk for Alzheimer’s disease.

Newspapers in English

Newspapers from United States