High Blood Pressure Patients Require More Harmonized Brain Blood Flow

by Medindia Content Team on  September 29, 2007 at 12:04 PM Hypertension News   - G J E 4
High Blood Pressure Patients Require More Harmonized Brain Blood Flow
Dr. J. Richard Jennings, a professor of psychiatry and psychology at the University of Pittsburgh School of Medicine in Pittsburgh, said that blood flow to the parts of the brain that support memory function differs between people with high blood pressure and those with normal blood pressure.

The difference seems to increase when high blood pressure is treated with medications, Dr. Jennings said at the American Heart Association's 61st Annual Fall Conference of the Council for High Blood Pressure Research.

"It does not mean that those with high blood pressure were remembering significantly less; rather, the brain areas acting together during memory required more blood flow to remember the same things as people who did not have high blood pressure in the study," said Dr. Jennings, lead author of the study.

Jennings and his colleagues had found in a previous study that people with hypertension differed with individuals without the condition in respect of the amount of brain tissue activated during memory tasks.

"In this study we wanted to find out if treating people for high blood pressure would change that pattern of activation," he said.

Twenty-eight adults with untreated hypertension were assigned to a memory task. As the subjects performed the task, the researchers assessed the blood flow in their brains.

The participants were randomly divided into two hypertension treatment groups. While half of them received the angiotension-converting enzyme inhibitor lisinopril, the other half received the beta-blocker atenolol. The subjects took the medication for a year before researchers tested them in the same way, again monitoring their blood flow to the brain as they did the memory task.

It was found that taking either antihypertensive medication actually increased the inefficiency of the brain's work during memory.

Dr. Jennings said that four areas of the brain—the thalamus, posterior parietal, prefrontal area and hippocampus—become active in different ways as a person performs memory tasks.

"In the first study, we looked at the correlation between the activation of those areas. We wanted to see if the areas tend to be activated in a correlated way; so, if you had a lot of activation in the prefrontal area, did you also have a lot of activation in the parietal area," he said.

"When we asked that question in our first study, we found out that the correlation in those areas was higher in people with high blood pressure than it was in people who didn't have high blood pressure. That means that more brain tissue was getting coordinated during the memory task in people with high blood pressure than in those with normal blood pressure," he added.

The researcher revealed that the correlation between the four brain areas further increased after a year of treatment for their high blood pressure, though his team was expecting to see a decline in it.

"After a year of treatment for their high blood pressure, we expected that we'd find that the correlation between those areas actually would decrease; so, the patients treated with hypertensive medication would look more like those with normal blood pressure. Instead, the correlation actually increased. After treatment the hypertensive patients were activating even more blood flow to those areas at the same time," Dr. Jennings said.

He said that the coordination between brain areas doing the memory task was more than twice as much in the hypertensive patients after treatment as compared to before treatment, and that the difference was even bigger compared to people without hypertension.

"This research is reassuring to those concerned about hypertension therapy's adverse effects, particularly cognitive effects. Treating hypertension is not only beneficial for extending life, but also for improving the quality of life," said Dr. Daniel W. Jones, American Heart Association President, Vice Chancellor for Health Affairs, Dean, School of Medicine, and Herbert G. Langford Professor of Medicine, University of Mississippi Medical Center

Source: Eurekalert

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