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Observational Studies             Treatment Trials

Aging Brain - Vasculature, Ischemia and Behavior

Study Director Bruce Miller, MD
Sponsor National Institute on Aging
Recruiting? Yes
Official Study Title Aging Brain - Vasculature, Ischemia and Behavior
Conditions Studied Cortical and subcortical strokes, white matter disease, vascular risk factors and aging
Purpose The overall purpose of this study is to clarify the mechanism(s) by which “vascular” risk factors (e.g., hypertension, diabetes and hypercholesterolemia) and stroke contribute to progressive brain atrophy and cognitive decline.
Eligibility  
Inclusion Criteria

Older than age 75 years
Falls into Groups A, B or C below
English speaking

A. Clinical history of stroke (> 3 months ago), or multiple infarcts, severe white matter disease on an MRI.

B. Persons with evidence of vascular end-organ disease (e.g., left ventricular hypertrophy, diabetic or hypertensive renal insufficiency, diabetic or hypertensive retinopathy).

C. Older persons (> 65 years) who have a diagnosis of either two of the three above (e.g., hypertension, diabetes, hypercholesterolemia).

Exclusion Criteria History of epilepsy (unless secondary to stroke), schizophrenia or bipolar affective disorder; history of substance abuse within the last 5 years. Pacemakers, shrapnel, or other metal implants in body also exclude subjects from participating.
What is Involved?  
Testing EKG and blood draw at the initial visit. For subsequent visits, usually once a year, 1.5 hours of cognitive testing, a neurological exam, a retinal scan and a carotid artery ultrasound. An MRI will be given every other year.
Frequency of Visits Once a year
Contact Information  
Coordinator Jonathan Gooblar
Phone (415) 476-1686
Materials Needed Prior to Evaluation Medical records
Costs None. Subjects will be reimbursed $40-$90 for each visit.

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