Neurology

The J-curve: is lower BP better?

 

The Joint National Committee on Prevention,Detection, Evaluation, and Treatment of High Blood Pressure(JNC-7) recommends aggressive blood pressure lowering to prevent cardiovascular outcomes (Chobanian et al. JAMA 2003; 289: 2560-2572; free full text at http://jama.ama-assn.org/cgi/reprint/289/19/2560?ijkey=c099fcb433c2980de606feca9dfb451112a828ed). In its classification scheme, JNC-7 regards BP < 120/80 to be normotensive, and systolic BP 120-139 mmHg or diastolic BP 80-89 mmHg to be pre-hypertensive. The increasing risk of cardiovascular events is considered to be continuous above 115/75 mmHg.

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Negative trial of DHA supplementation in Alzheimer’s disease

 

Docosahexaenoic acid (DHA) is an omega-3 polyunsaturated fatty acid that has been shown in vitro and in animal models to alter beta-amyloid accumulation and to have anti-apoptotic activity (Oksman et al. Neurobiol Dis 2006; 23: 563-572). For a recent review see Jicha & Markesbery. Clin Interv Aging 2010; 5: 45-61; free full text at www.ncbi.nlm.nih.gov/pmc/articles/PMC2854051/pdf/cia-5-045.pdf.

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