Hypertension, or high blood pressure, is one of the most prevalent chronic health conditions, affecting nearly half of adults globally, according to the World Health Organization (WHO). Often called the “silent killer” due to its lack of symptoms, hypertension is a major risk factor for cardiovascular diseases, stroke, and kidney failure. However, its effects on brain health, specifically cognitive decline, are less well-known but equally concerning. Research increasingly points to the significant role hypertension plays in accelerating cognitive impairments, contributing to conditions such as vascular dementia and Alzheimer’s disease. This article explores the connection between hypertension and cognitive decline, the mechanisms driving this relationship, and innovative treatments that may mitigate the long-term effects of high blood pressure on the brain.