Researchers used a magnetic resonance imaging technique to measure
blood flow in the brains of 68 older adults. They found cerebral blood
flow was substantially decreased in all patients with high blood
pressure and was the lowest in Alzheimer's patients with high blood
pressure.
"What we think may be happening is hypertension reflects an extra
hit to the brain," said Cyrus Raji of the University of Pittsburgh, who
led the study.
The study compared Alzheimer patients to adults with normal
cognitive function and a group with mild cognitive impairment, defined
as a transitional stage between dementia and normal, age-related
deficits in language, attention and reasoning.
Half of the patients in each of the three groups had high blood pressure and half did not.
The researchers used an imaging program called arterial spin-labeled
MRI, which calculates blood flow per minute in a section of brain
tissue and does not require use of a contrast agent. Contrast agents
are compounds the patient receives either orally or intravenously to
make the MRI scan easier to see.
"This is a very safe technique, especially for the elderly," Raji
said in an interview at the annual meeting of the Radiological Society
of North America in Chicago, where he presented his findings.
About 50 million Americans have hypertension, in which the blood
circulates through the arteries with too much force, according to the
National Heart, Lung and Blood Institute. The condition increases the
risk for heart attack, stroke and aneurysm.
"This study demonstrates that good vascular health is also good for
the brain," said Oscar Lopez of the University of Pittsburgh, who also
worked on the study.
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