Primary Care Corner with Geoffrey Modest MD: Too low blood pressure and cognitive decline in elderly

By: Dr. Geoffrey Modest  An Italian prospective cohort study of elderly patients (>65 yo) with baseline cognitive impairment assessed the association between achieved blood pressure in those who were hypertensive and the rate of cognitive decline (see JAMA Intern Med. 2015;175(4):578-585​). Details: –172 patients followed in 2 outpatient memory clinics, mean age 79, 63.4% female, mean mini-mental status exam (MMSE) baseline score […]

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Primary Care Corner with Geoffrey Modest: More on Hypertension from the past few years

NICE  (National institute for health and clinical excellence, in the UK, which sends out recommendations for many clinical issues — well-researched and probably less influenced by pharmaceutical money, etc –.  These are very thoughtful guidelines with some major changes over JNC here (though rumor has it that a revised JNC is on the near horizon). […]

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