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REFLECTIONS
                                                                                                                   Hypertension
     Hypertension Global Newsletter #5 2023


     mmHg. Cognitive outcomes included probable dementia, mild cognitive impairment, and the composite of probable dementia or
     mild cognitive impairment.                                                                                    Hypertension

     In analyzing the baseline characteristics of participants, those with higher TTR were younger, more likely to be men, and less likely
     to have a history of ASCVD. The authors found that after adjustment of baseline demographics, medical history, and mean SBP, a
     1-standard deviation (31.5%) increase in TTR was independently associated with a 14% lower risk of probable dementia (hazard















































            CLINICAL PEARLS FROM THE FACULTY                    ratio, 0.86 [95% CI, 0.76–0.98]; P=0.023). However, there
                                                                was no significant association between SBP-TTR and mild
                                                                cognitive impairment. A consistent trend was found for a lower
                                                                risk of probable dementia associated with higher TTR.

                                                                The authors concluded that SBP-TTR was an independent
                                                                predictor of probable dementia beyond mean SBP. Maintaining
                                                                SBP within 110 to 140 mmHg over time may be beneficial for
                                                                dementia prevention. As a novel monitoring metric of blood
                                                                pressure control, time in target range could independently
              WATCH                                             predict dementia events.
              PROF. ARAIZA DISCUSS THE
              CLINICAL IMPLICATIONS OF THE
              SPRINT MIND STUDY FOR OLDER                                 CLICK HERE
              PATIENTS WITH HYPERTENSION.                                 FOR THE LINK TO FULL ARTICLE




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