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Long-term risk of dementia with angiotensin receptor blockers versus angiotensin-converting enzyme inhibitors in hypertensive patients: A 15-year follow-up using the 45 and Up Study - PubMed

3 hours ago
  • #pharmacology
  • #hypertension
  • #dementia
  • Study compares dementia risk in hypertensive patients using ARBs vs. ACEIs over 15 years.
  • ARB use linked to significantly reduced dementia risk compared to ACEIs (HR = 0.72).
  • Specific ARBs like olmesartan, candesartan, telmisartan, irbesartan, and perindopril showed lower dementia risk vs. lisinopril.
  • Captopril (an ACEI) was associated with a higher dementia risk (HR = 4.9).
  • Results remained consistent across subgroup and sensitivity analyses.
  • Findings suggest ARBs may play a role in dementia prevention, but further RCTs are needed.