611 W. Union Street
Benson, AZ 85602
(520) 586-0800

Health Choice Integrated Care crisis Line
1-877-756-4090

AzCH Nurse Assist Line
1-866-495-6735

NAZCARE Warm Line
1-888-404-5530



SEABHS
611 W. Union Street
Benson, AZ 85602
(520) 586-0800

AzCH Nurse Assist Line
1-866-495-6735

NAZCARE Warm Line
1-888-404-5530


powered by centersite dot net

Getting Started
Here are some forms to get started. These can be printed and brought with you so that you can pre-fill out some known info ahead of time. More...


Medical Disorders
Resources
Basic InformationLookupsLatest News
AHA News: Evidence Grows for an HPV-Heart Disease ConnectionStrict Blood Pressure Limits for Kids Tied to Heart Health LaterAlmost Half of Young Asthma Patients Misuse Inhalers'Superbugs' Hang Out on Hospital PatientsHealth Tip: Understanding the Tetanus ShotHealth Tip: Earache Home CareListeria Outbreak Linked to Deli Meats, Cheeses in 4 StatesWill You Get Fat? Genetic Test May TellFood Allergies Can Strike at Any AgeWhy a Knee Replacement Can Go BadExperimental Blood Thinner May Help Prevent Stroke, Without the Bleeding RiskBuyer Beware When Purchasing Medical Test StripsEgg Allergy? Don't Let That Stop You From Getting VaccinatedGene Therapy Might Prove a Cure for 'Bubble Boy' DiseaseTwo Lives Saved in Rare 'Paired' Liver DonationYour Life Span May Be Foretold in Your Heart BeatsHealth Tip: Stopping NosebleedsKids Can Get UTIs, TooIs a New Remedy for Body Odor on the Horizon?Why More Patients Are Surviving an AneurysmCommon Diabetes Drug May Also Shield Kidneys, HeartIsraeli Team Announces First 3D-Printed Heart Using Human Cells'Added Sugars' Label on Foods Could Save Many LivesCPAP Brings Longer Life for Obese People With Sleep Apnea: StudyYoung Athletes Need to Be Sidelined After Bout of MonoPre-Cut Melons at Kroger, Walmart, Other Stores May Carry SalmonellaCDC Says Ground Beef Is Source of E. coli Outbreak, Cases Rise to 109AHA News: Is Yoga Heart-Healthy? It's No Stretch to See Benefits, Science SuggestsFDA Orders Label Warning on Alcohol Use With 'Female Viagra'Could Treating Gut Bacteria Help Ease Autism Symptoms?Hospital Privacy Curtains Could Be Breeding Ground for GermsItchy Skin Common Alongside Kidney DiseaseMany Misdiagnosed With MSVehicle Exhaust Drives Millions of New Asthma Cases AnnuallyNFL Retirees Help Scientists Develop Early Test for Brain Condition CTEMigraine Pain Linked to Raised Suicide RiskMore Time Spent in Sports, Faster Healing From ConcussionHealth Tip: Thermometer OptionsStill No Source as E. Coli Outbreak Grows to 96 Cases Across 5 States: CDCClimate Change Could Worsen Sneezin' SeasonEvenity Approved for Osteoporotic WomenNYC Declares Public Health Emergency Over Brooklyn Measles OutbreakInsurers' Denials of Opioid Coverage Spurs CDC to Clarify GuidelinesImmune-Targeted Treatment Might Help Prevent Peanut Allergy CrisesCluster of Dangerous Antibiotic-Resistant E. Coli Infection Spotted in NYCHealth Tip: Managing Chronic MigrainesFor One Man, Too Much Vitamin D Was DisastrousCDC Investigates Mystery E. Coli Outbreak Affecting 5 StatesBlacks Live Longer, Not Necessarily Better, With ALSIs It Heartburn or Something Else?
Questions and AnswersLinksBook Reviews
Related Topics

Cancer
Men's Health
Women's Health

Can Strict Blood Pressure Control Lower Dementia Risk?

HealthDay News
by By Dennis Thompson
HealthDay Reporter
Updated: Jan 29th 2019

new article illustration

TUESDAY, Jan. 29, 2019 (HealthDay News) -- Tight control of your blood pressure won't necessarily spare you from full-blown dementia, a new trial concludes.

But it might lower the risk of slight declines in thinking and memory, a condition known as mild cognitive impairment (MCI), the researchers added.

The clinical trial is the "first study in history to show that any intervention can reduce your risk of developing mild cognitive impairment, an early form of dementia," said lead researcher Dr. Jeff Williamson. He is a professor of gerontology and geriatric medicine at Wake Forest School of Medicine, in Winston-Salem, N.C.

"What is good for your heart in terms of blood pressure-lowering is also good for your brain," Williamson added. He noted that the trial ended early, which likely affected the dementia result. "We just didn't have enough dementia cases develop over time" in the group with less-restricted blood pressure, he explained.

High blood pressure affects more than three-fourths of people over the age of 65, and it has been identified as a potential risk factor for MCI and dementia in observational studies, the study authors said in background notes.

The new clinical trial focused on nearly 9,400 people, average age 68, who had been randomly assigned to treatment that would keep their systolic blood pressure at or below a goal of either 120 or 140 mm Hg.

Participants were all at high risk for heart disease, and the clinical trial initially was aimed at seeing whether a more stringent blood pressure goal would save lives.

The planned five-year trial ended early, after a little over three years, because the group kept at 120 systolic blood pressure fared so much better than the other group, the researchers said.

The lower blood pressure goal "prevented death, stroke, heart attack and heart failure so much more quickly and so much more powerfully," that people in the 140 systolic group were allowed to go on the same therapy as the lower blood pressure group, Williamson said.

But an offshoot of the trial continued to track the participants, to see whether tight blood pressure control had any effect on risk of developing dementia or mild cognitive impairment.

After five years of follow-up, the investigators found that tighter blood pressure control reduced the risk of MCI by 19 percent, and the risk of MCI or probable dementia combined by 15 percent.

The 120 systolic group also had a 17 percent reduced risk of dementia, but that result was not statistically significant, according to the report.

The Alzheimer's Association has agreed to provide funding to keep tracking the patients for another couple of years, Williamson said.

"We feel additional follow-up of this cohort will provide the last piece of the puzzle we need," he said.

There are a couple of ways blood pressure could influence brain health, Williamson suggested. High blood pressure could damage the tiny blood vessels in the brain, harming brain tissue. It also could affect the amount of toxic substances that enter and lodge in the brain.

Dr. Kristine Yaffe is chief of neuropsychiatry and director of the Memory Disorders Clinic at the San Francisco Veteran's Affairs Medical Center. She said that even though the trial didn't meet its primary endpoint of significantly reducing dementia, it's still "exciting because it reminds us how important cardiovascular disease and vascular health is to the brain and to cognition."

Yaffe, who wrote an editorial accompanying the results, added, "I think you can't throw the baby out with the bathwater. You have to look at the whole picture here. They found an effect on MCI, which is the first time anybody's shown a way to reduce MCI. Now we need to study this more. I think there's a lot more we can try and understand."

The clinical trial was published online Jan. 28 in the Journal of the American Medical Association.

More information

The Alzheimer's Association has more about mild cognitive impairment.