A 68-year-old patient with well-controlled hypertension, asymptomatic since many years suddenly complains of vertigo, dizziness, and subtle loss of memory in daily life. Self-blood pressure (BP) measurement followed by 24-hour ambulatory BP measurement shows impressive BP variability. BP measurements on subsequent consultations vary from very high to low BP without an obvious explanation. Six months later, the patient’s cognitive status worsens and he is diagnosed with dementia. [...]
Guimarães Cunha, P., Stolarz-Skrzypek, K., & Persu, A. (2020). Increased Blood Pressure Variability May Herald Cognitive Decline and Dementia. Hypertension, 76(4), 1076-1078. https://doi.org/10.1161/HYPERTENSIONAHA.120.14785 (Original work published 2020)