Deans' stroke musings: Intensive control of hypertension and risk of Alzheimer dementia in older adults with depression

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, May 2, 2020

Intensive control of hypertension and risk of Alzheimer dementia in older adults with depression

My reading of this is that with your good chance of depression from your fucking failure of your doctor to get you recovered, you definitely need depression protocols. Of which there are none publicly available, you're screwed.

Post stroke depression(33% chance)

The latest here:

Intensive control of hypertension and risk of Alzheimer dementia in older adults with depression

International Journal of Geriatric Psychiatry — Yeung A, et al. | April 23, 2020

Utilizing data from the National Alzheimer's Coordinating Center, researchers ascertained if intensive control of systolic blood pressure (BP) was correlated with reduced risk of Alzheimer dementia (AD) in a clinical population. In addition, they investigated those with comorbid depression, to determine whether intensive control of systolic BP (≤120 mmHg) was related to reduced risk of AD. They performed survival analyses in older adults with normal cognition at baseline and treated hypertension. Two hundred ninety-eight developed AD during a median follow‐up duration of 4.2 years in all older adults with treated hypertension (n = 4,505). One hundred fifty-two developed AD in the comorbid depression subgroup (n = 1,327). The authors discovered that an intensive systolic BP target of ≤ 120 mmHg was linked to increased risk of AD in a clinical population of older adults with hypertension and comorbid depression. Although these results are preliminary, they indicate that this vulnerable subgroup may require a
more conservative approach to hypertension care.