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BukuThe use of Angiotensin-converting enzyme inhibitors and diuretics is associated with a reduced incidence of impairment on cognition in elderly women (in Clinical Pharmacology & Therapeutics | VOLUME 84 NUMBER 1)
Bibliografi
Author: Yasar, S ; Zhou, J. ; Varadhan, R ; Carlson, MC
Topik: angiotensin-converting enzyme inhibitors; ACE-Is; Diuretics
Bahasa: (EN )    Edisi: JULY 2008    
Penerbit: Nature Publishing Group     Tempat Terbit: New York    Tahun Terbit: 2008    
Jenis: Article - diterbitkan di jurnal ilmiah internasional
Fulltext: The Use of Angiotensin-converting Enzyme inhibitors.pdf (137.04KB; 1 download)
Abstract
The effects of angiotensin-converting enzyme inhibitors (ACE-Is) and diuretics (used as antihypertensive agents) on global and domain-specific cognitive decline were evaluated in 326 non-demented community-dwelling participants over the age of 70 years in the Women's Health and Aging Study II. Time-dependent Cox proportional hazards regression analysis was used for evaluating the association between parameters. The use of ACE-I for more than 3 years was associated with reduced incidence of impairment on Mini-Mental State Examination (MMSE), Trail Making Test-Part A and Part B (TMT, Parts A and B), Hopkins Verbal Learning Test-Immediate Recall (HVLT-I), and Hopkins Verbal Learning Test-Delayed Recall (HVLT-D). The use of diuretics for more than 3 years was associated with reduced incidence of impairment on MMSE, TMT, Parts A and B, HVLT-I, and (HVLT-D). The presence of vascular disease did not make any difference to these effects. Therefore, the use of ACE-Is or diuretics was associated with reduced incidence of impairment of both global and domain-specific cognition in elderly women, and may help delay progression to dementia.
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