An Unexpected Correlation Between Non-Invasive Intracranial Pressure Waveform Assessment in Hypertensive Patients. Could This Be the Link Between Hypertension and Cerebrovascular Diseases as Well as Cognitive Impairments?

Main Article Content

Gustavo Frigieri Polyana Vulcano de Toledo Piza Sérgio Mascarenhas Antonio Coca Weimar Kunz Sebba Barroso

Abstract

A collaborative, interdisciplinary approach within the medical field is of paramount importance, aiming towards fostering an environment conducive to healthy aging in patients. It is incumbent upon us to thoroughly assess the ramifications of cardiovascular influence on cerebral functions and to instigate therapeutic interventions at an early stage, or preferably, preventive measures. This text emphatically reinforces the substantial influence of arterial hypertension on the central nervous system, concurrently suggesting a feasible methodology for its measurement. The aim of this publication is to foreground this problem, thereby catalyzing scientific dialogue, advocating for research proposals, and potentially instigating a reconsideration of our patient care approaches.

Article Details

How to Cite
FRIGIERI, Gustavo et al. An Unexpected Correlation Between Non-Invasive Intracranial Pressure Waveform Assessment in Hypertensive Patients. Could This Be the Link Between Hypertension and Cerebrovascular Diseases as Well as Cognitive Impairments?. Medical Research Archives, [S.l.], v. 11, n. 7.2, july 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/4166>. Date accessed: 24 may 2024. doi: https://doi.org/10.18103/mra.v11i7.2.4166.
Section
Editorial

References

1. Zhou, B. et al. Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants. The Lancet 398, 957–980 (2021).
2. Low, S. et al. 2. J. Diabetes Complications 34, 107724 (2020).
3. Li, C. et al. 3. J. Am. Coll. Cardiol. 79, 1321–1335 (2022).
4. Hu, Y.-H. et al. Association of Early Adulthood 25-Year Blood Pressure Trajectories with Cerebral Lesions and Brain Structure in Midlife. JAMA Netw. Open 5, e221175 (2022).
5. Damluji, A. A. et al. Hierarchical Development of Physical Frailty and Cognitive Impairment and Their Association with Incident Cardiovascular Disease. JACC Adv. 2, 100318 (2023).
6. Gifford, K. A. et al. Blood Pressure and Cognition Among Older Adults: A Meta-Analysis. Arch. Clin. Neuropsychol. 28, 649–664 (2013).
7. Blood pressure and cognitive decline over the course of 2 years in elderly people: a community-based prospective cohort study | SpringerLink. https://link.springer.com/article/10.1007/s40520-020-01717-7.
8. Forte, G., De Pascalis, V., Favieri, F. & Casagrande, M. Effects of Blood Pressure on Cognitive Performance: A Systematic Review. J. Clin. Med. 9, 34 (2019).
9. Costa M.M., Lima L.M., Costa T.O., Alves A.C.R., Correia M.C., Vitorino P.V.O. et al. Intracranial Pressure Waveform and Hypertension. J. Hypertens. 41(Suppl 3): e 58, June 2023.
10. Mascarenhas, S. et al. The New ICP Minimally Invasive Method Shows That the Monro–Kellie Doctrine Is Not Valid. in Intracranial Pressure and Brain Monitoring XIV (eds. Schuhmann, M. U. & Czosnyka, M.) 117–120 (Springer, 2012). doi:10.1007/978-3-7091-0956-4_21.
11. Brasil, S. et al. A Novel Noninvasive Technique for Intracranial Pressure Waveform Monitoring in Critical Care. J. Pers. Med. 11, 1302 (2021).
12. Brasil, S. et al. Noninvasive intracranial pressure waveforms for estimation of intracranial hypertension and outcome prediction in acute brain-injured patients. J. Clin. Monit. Comput. 1–8 (2022) doi:10.1007/s10877-022-00941-y.
13. de Moraes, F. M. et al. Waveform Morphology as a Surrogate for ICP Monitoring: A Comparison Between an Invasive and a Noninvasive Method. Neurocrit. Care 37, 219–227 (2022).
14. Frigieri, G., Robba, C., Machado, F. S., Gomes, J. A. & Brasil, S. Application of non-invasive ICP waveform analysis in acute brain injury: Intracranial Compliance Scale. Intensive Care Med. Exp. 11, 5 (2023).
15. Fernandes, M. V. et al. Intracranial Pressure During the Development of Renovascular Hypertension. Hypertension 77, 1311–1322 (2021).
16. Brasil, S. Intracranial pressure pulse morphology: the missing link? Intensive Care Med. 48, 1667–1669 (2022).