 [ Symptoms ] can you get health insurance coverage under the aca that starts prior to january 1 2014 [ Disease ] i can understand your concern whenever a person reaches a mature age we start to wonder if confusion could be a sign of alzheimer is or dementia i hope to set your mind at ease confusion in elderly people can result from many causes and one of those certainly is low blood pressure andor a low heart rate think of it this way if the heart is beating so slowly it can not push an adequate volume of oxygen rich blood to the brain then the brain is not going to function at top efficiency i hope you will find the reduction in the valsartin dose will get that pressure up and solve the confusion problem confusion also can be a sign of a urinary tract infection uti usually we think uti in relation to delirium which is like confusion on steroids but sudden confusion that does not clear up also could be an indicator of a uti confusion also can result from pain malnutrition poor vision poor hearing and many other things if your husband is confusion does not improve with the medication change or if it gets progressively worse you might consider taking him to his primary care provider and very frankly stating your concerns an initial evaluation for dementia can be done quickly right in the exam room and ruling it out can provide significant peace of mind for everyone wishing you well