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Untreated hypertension tied to Alzheimer’s disease risk: Neurologist shares the silent symptoms that usually miss the eye

Hypertension is one of the most prevalent and underrated global health threats. But perhaps less well known is that untreated high blood pressure can also quietly damage the brain and lead to a higher risk for Alzheimer’s disease

September 21, 2025 / 09:01 IST
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Hypertension doesn’t just strain the heart—it can quietly damage the brain, raising risks of memory loss, dementia, and Alzheimer’s disease. (Image: Pexels)

Hypertension, commonly known as high blood pressure, is a prevalent disease worldwide. “The silent killer” is its nickname, since the symptoms are typically mild or imperceptible. Even though most people know it affects blood vessels and heart health, people are less likely to be aware of its long-term impact on the brain. There is a growing body of research indicating that uncontrolled hypertension can substantially increase the risk of cognitive decline, dementia and Alzheimer’s disease.

The brain needs a constant flow of blood rich in oxygen to function correctly. Over time, high blood pressure damages arteries by making them stiffer and narrower. That reduces the brain’s blood supply and the risk of small vessel disease, stroke and memory loss. The combined consequence of years of untreated hypertension is a silent driver of neurodegenerative changes that impact memory, thinking, and cognition.

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Dr Lomesh Bhirud, Neurologist and Neuro-Interventionalist at Ruby Hall Clinic, Pune, talking to Moneycontrol, highlights that the most dangerous aspect about hypertension is how invisible the disorder can be. There are many people who live with it for years without realizing the risks that it poses not only to the heart, but also to long-term brain health.”

1. Subtle Memory Lapses