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Alzheimer's May Be A Vascular Disease
8 Jul 2021
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About 5.8 million Americans have Alzheimer's Disease (AD); 5.5 million of these are aged 65 or above. This article has details. In 2020, I learnt that Alzheimer's Disease and Heart Disease (Coronary Artery Disease) have something in common: clogged arteries!

Source: Offset 1:50 of Alzheimer's & Atherosclerosis of the Brain (6 mins, 2015) by Dr Greger.

Dr Greger's article on Alzheimer's Disease explains:

We generally think of atherosclerosis as a condition of the heart, but a substantial body of evidence strongly associates atherosclerotic arteries with Alzheimer's disease. Autopsies have shown repeatedly that Alzheimer's patients tend to have significantly more atherosclerotic plaque buildup and narrowing of the arteries within the brain, and the clogging of the arteries inside, and leading to, the brain with cholesterol-filled plaque can drastically reduce the amount of blood — and therefore oxygen — your brain receives. In light of such findings, some experts have even suggested that Alzheimer's be reclassified as a vascular disorder.

(2016) The Alzheimer's Gene: Controlling ApoE

(3 mins) Transcript. Dr Greger's summary: "Diet may explain the Nigerian Paradox, where they have among the highest rates of the Alzheimer's susceptibility gene, ApoE4, but among the lowest rates of Alzheimer's disesae."

Dr Greger

In the articles and videos below, Dr Greger presents support for the hypothesis that Alzheimer's Disease may be a vascular disease.

(2015) Alzheimer's May Start Decades Before Diagnosis

(4 mins) Transcript. Dr Greger explains that Alzheimer's is similar to heart disease in that 'plaques and tangles' characteristic of the disease start forming decades earlier — as early as our 20s — just like plaques form inside our coronary arteries, but remains clinically silent.

(2019) Alzheimer's & Atherosclerosis of the Brain

(6 mins) Transcript. This video summarizes research in 2000s and 2010s that studies the relationship between arterial clogging and onset of Alzheimer's. Some researchers have started proposing that Alzheimer's be reclassified as a vascular disorder instead of degenerative brain disease.

(2017) Higher Blood Pressure May Lead to Brain Shrinkage

(4 mins) Transcript. A fascinating video by Dr Greger that I encourage my friends to watch! It has insights into how clogging of arteries affects our brain. Sometimes, when blood stops flowing in the narrowest of brain blood vessels, we get tiny "holes" in our brain (because blood supply stops and some brain tissue dies). Oh boy! Dr Greger also mentions how hypertension is associated with brain shrinkage and degenerative diseases like Alzheimer's and dementia. Summary: let's eat healthy to protect our brain from dying (and developing "holes") as we age!

Related blog article from July 2020: High Blood Pressure May Lead to Low Brain Volume

Dr Peter Rogers

Dr Rogers recommends this book to understand the relationship between blood flow and Alzheimer's better:

(9 mins) How To Prevent Alzheimer's by Dr Peter Rogers

An insightful video in which Dr Peter Rogers explains the relationship between arterial clogging, blood flow, brain shrinkage and Alzheimer's.

© Copyright 2008—2025, Gurmeet Manku.