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The 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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