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Angiotensin receptor blockers associated with decreased incidence and progression of dementia in older men with cardiovascular disease

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Question

Question:

Do angiotensin receptor blockers protect against or slow the progression of dementia and Alzheimer's disease?

Population:

Participants were 819 491 older adults (98% male; aged ≥65 as of October 2002) with cardiovascular disease. More than 11 500 were taking angiotensin receptor blockers (ARBs), >91 000 were taking the angiotensin-converting enzyme (ACE) inhibitor lisinopril and >696 000 were taking other cardiovascular drugs (which included β blockers and calcium channel antagonists, and excluded ARBs, ACE inhibitors and statins). The study included those without a diagnosis of dementia or Alzheimer's disease at baseline (2001–2002) as well as those with these diagnoses.

Setting:

Administrative database of the US Veteran Affairs; data collected October 2001 to September 2006.

Prognostic factors:

Use of angiotensin receptor blockers, lisinopril, combinations of these or other cardiovascular medications. Lisinopril was selected as a comparator, as ACE inhibitors are a similar drug class to ARBs and share indications, and lisinopril has the largest group of users of the ACE inhibitors. …

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