Vascular cognitive impairment (VCI) and its more severe manifestations such as Alzheimer’s disease are debilitating conditions which have a significant impact on the patients themselves, as well as their families and caregivers. Bobby Stutz and Dr Winter of Atcor Medical Inc. describe how the evidence accrued to date strongly suggests that evaluation of arterial stiffness and management of central BP could play a useful role in reducing the decline in cognitive function.