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Visit-to-Visit Blood Pressure Variability in Alzheimer Disease

Lattanzi, Simona MD*; Viticchi, Giovanna MD*; Falsetti, Lorenzo MD; Buratti, Laura MD*; Luzzi, Simona MD*; Provinciali, Leandro MD*; Silvestrini, Mauro MD*

Alzheimer Disease & Associated Disorders: October-December 2014 - Volume 28 - Issue 4 - p 347–351
doi: 10.1097/WAD.0000000000000040
Original Articles
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The aim of this study was to evaluate visit-to-visit blood pressure (BP) variability in a cohort of patients with Alzheimer disease (AD) and healthy controls. Patients with clinically diagnosed mild or moderate AD and cognitively normal controls matched for age and sex were recruited and followed up for 6 months. To characterize the BP status of each individual, mean, maximum and minimum values, SD, and coefficient of variation were obtained for both systolic BP (SBP) and diastolic BP (DBP). Seventy AD patients and 140 controls were enrolled. No meaningful differences were found in prevalence or treatments of various vascular risk factors. AD patients had higher maximum and lower minimum values and greater SD and coefficient of variation of both SBP and DBP. Group differences in mean values were significant only for SBP. In the multiple logistic regression analysis, adjusted for confounding variables, all the indices related to BP variability were significantly associated with AD. Our results show that AD patients have a greater variability of both SBP and DBP in comparison with age-matched cognitive normal controls, suggesting potential implication in the pathogenesis or progression of the disease.

*Department of Experimental and Clinical Medicine, Neurological Clinic, Marche Polytechnic University

Internal and Subintensive Medicine, Ospedali Riuniti Ancona, Ancona, Italy

The authors declare no conflicts of interest.

Reprints: Mauro Silvestrini, MD, Department of Experimental and Clinical Medicine, Neurological Clinic, Marche Polytechnic University, Via Conca 1, 60020 Ancona, Italy (e-mail: m.silvestrini@univpm.it).

Received December 16, 2013

Accepted March 11, 2014

© 2014 by Lippincott Williams & Wilkins.