Neurodegenerative disorders linked to chronic vascular involvement in hypertensive patients
DOI:
https://doi.org/10.62452/4se91d96Keywords:
Arterial hypertension, cognitive impairment, vascular dementia, cerebral blood flow, neurodegenerationAbstract
Sustained arterial hypertension is one of the most significant risk factors contributing to progressive cognitive decline in the adult population. The link between chronic vascular damage and neurodegenerative processes has been extensively studied, highlighting how prolonged cerebral hypoperfusion, endothelial dysfunction, and vascular inflammation contribute to synaptic loss and neuronal death. This review examines scientific evidence on the impact of uncontrolled hypertension on brain structure and function, particularly in areas involved in memory and attention. Additionally, the role of neurovascular mechanisms in the development of various forms of dementia—especially those of vascular origin—is assessed. Early identification of cognitive symptoms and effective blood pressure management are essential strategies to prevent related neurological deterioration. The study advocates for an interdisciplinary approach that incorporates clinical monitoring, pharmacological treatment, and lifestyle modifications as essential components for reducing long-term cognitive impairment in hypertensive individuals.
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References
Burke, G. L., & Hughes, T. M. (2021). Arterial changes connecting hypertension to Alzheimer’s disease and related dementias. JACC: Cardiovascular Imaging, 14(1), 186–188. https://doi.org/10.1016/j.jcmg.2020.10.018
Castro-Jiménez, L. E., & Galvis-Fajardo, C. A. (2018). Efecto de la actividad física sobre el deterioro cognitivo y la demencia. Revista Cubana de Salud Pública, 44(3), e979. http://scielo.sld.cu/pdf/rcsp/v44n3/1561-3127-rcsp-44-03-e979.pdf
Espinosa, A. (2018). Hipertensión arterial: cifras para definirla al comenzar 2018. Revista Finlay, 8(1), 66–74. http://scielo.sld.cu/pdf/rf/v8n1/rf08108.pdf
Llibre-Rodríguez, J., Gutiérrez, R., & Zayas, T. (2022). Prevención del deterioro cognitivo y las demencias: Un enfoque del curso de vida. Revista Cubana de Salud Pública, 48, e271448. https://revsaludpublica.sld.cu/index.php/spu/article/view/2714/1829
López Peláez, J., Barberena, N., & Estrada González, C. (2022). Consecuencias de la hipertensión arterial en las funciones cognitivas. Revista Cubana de Medicina General Integral, 38(1). http://scielo.sld.cu/pdf/mgi/v38n1/1561-3038-mgi-38-01-e1595.pdf
Moreno-Noguez, M., Castillo-Cruz, J., García-Cortés, L. R., & Gómez-Hernández, H. R. (2023). Risk factors associated with cognitive impairment in aged: Cross-sectional study. Revista Médica del Instituto Mexicano del Seguro Social, 61(Supl. 3), S395–S406. https://doi.org/10.5281/zenodo.8319815
Paglieri, C., Bisbocci, D., Di Tullio, M. A., Tomassoni, D., Amenta, F., & Veglio, F. (2004). Arterial hypertension: A cause of cognitive impairment and of vascular dementia. Clinical and Experimental Hypertension, 26(4), 277–285. https://doi.org/10.1081/ceh-120034134
Pelegrín, C. (2021). Trastornos cognitivos menores. En L. Agüera, M. Martin & M. Sánchez (Eds.), Psiquiatría geriátrica (pp.158-185). Elsevier.
Ramos Domínguez, A. C., Vilchis Chaparro, E., Espinoza Anrubio, G., & Chaparro Anaya, M. E. (2020). Clasificación del deterioro cognitivo en adultos mayores con diabetes mellitus tipo 2. Atención Familiar, 27(2), 61-65. https://doi.org/10.22201/facmed.14058871p.2020.2.75200
Ruiz-Alejos, A., Carrillo-Larco, R. M., & Bernabé-Ortiz, A. (2021). Prevalencia e incidencia de hipertensión arterial en Perú: Revisión sistemática y metaanálisis. Revista Peruana de Medicina Experimental y Salud Pública, 38(4), 521–529. https://doi.org/10.17843/rpmesp.2021.384.8502
Santamaría Ávila, L. A., González Arteaga, J. J., Pedraza Linares, O. L., Sierra Matamoros, F. A., & Arcadio Piñeros, C. (2021). Diabetes mellitus e hipertensión arterial en la progresión a deterioro cognitivo leve y demencia: Una revisión de la literatura. Acta Neurológica Colombiana, 37(2), 80–90. https://doi.org/10.22379/24224022371
Walker, K. A., Power, M. C., & Gottesman, R. F. (2017). Defining the relationship between hypertension, cognitive decline, and dementia: A review. Current Hypertension Reports, 19(3), 24. https://doi.org/10.1007/s11906-017-0724-3
Wysocki, M., Luo, X., Schmeidler, J., Dahlman, K., Lesser, G. T., Grossman, H., Haroutunian, V., & Schnaider Beeri, M. (2012). Hypertension is associated with cognitive decline in elderly people at high risk for dementia. American Journal of Geriatric Psychiatry, 20(2), 179–187. https://doi.org/10.1097/JGP.0b013e31820ee833
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Copyright (c) 2025 María Gabriela Balarezo-García, Diego Armando Suárez-Páez, Sareli Anahi Aguilar-Armendáriz, Viviana Liseth Chiluisa-Remache (Autor/a)

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