J. M. Ramírez-Moreno, M. V. Millán-Núñez Neurosciences and History 2017; 5(4): 128-135
Type of article: REVIEW
J. M. Ramírez-Moreno1,2,3, M. V. Millán-Núñez4 1Department of Biomedical Sciences. Faculty of Medicine, Universidad de Extremadura, Badajoz, Spain. 2Stroke centre. Department of Neurology. Hospital Universitario Infanta Cristina, Badajoz, Spain. 3Grupo de Investigación Multidisciplinar de Extremadura (GRIMEX). Badajoz, Spain. 4Department of Cardiology. Hospital Universitario Infanta Cristina, Badajoz, Spain.
This manuscript is dedicated to the memory of Dr Federico González Dorrego, founding member and first president of the Society of Neurology of Extremadura and Professor of Neurology at the Universidad de Extremadura. This study was the subject of a lecture at the 39th Zafra Medical and Surgical Conference, under the title “Reflections on cerebrovascular disease. Operation Argonaut.”
Introduction. The 32nd president of the United States, Franklin D. Roosevelt, died of a massive brain haemorrhage on 12 April 1945, at his home in Warm Springs, Georgia. He was thought to have enjoyed excellent health, and there had been no public perception that such a thing was likely to happen.
Development. Scrutiny of the medical data now available reveals the ignorance of some of the president’s physicians, or the fact that his precarious health was knowingly concealed from the public. This review analyses elements of Roosevelt’s cardiovascular and cognitive health from a historical perspective, drawing from the available biographical data and taking the Yalta Conference as a historical reference.
Conclusions. Arterial hypertension is highly prevalent, treatable, and controllable, for which reason it has emerged as a potentially modifiable risk factor for declining cognitive function. Many years after Roosevelt’s death from neurological catastrophe related to hypertension, high blood pressure continues to be the most prevalent cerebrovascular disease risk factor, and the greatest population attributable risk. It is still necessary to develop effective blood pressure monitoring programmes, helping to ensure primary prevention of stroke and cognitive impairment.
Arterial hypertension, brain haemorrhage, cognitive impairment, Franklin D. Roosevelt, mortality, pathobiography, stroke
Neurosciences and History 2017; 5(4): 128-135
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