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Hypertension in the elderly 被引量:11

Hypertension in the elderly
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摘要 The elderly are the most rapidly growing population group in the world.Data collected over a 30-year period have demonstrated the increasing prevalence of hypertension with age.The risk of coronary artery disease,stroke,congestive heart disease,chronic kidney insufficiency and dementia is also increased in this subgroup of hypertensives.Hypertension in the elderly patients represents a management dilemma to cardiovascular specialists and other practioners.During the last years and before the findings of the Systolic Hypertension in Europe Trial were published,the general medical opinion considered not to decrease blood pressure values similarly to other younger patients,in order to avoid possible ischemic events and poor oxygenation of the organs(brain,heart,kidney).The aim of this review article is to highlight the importance of treating hypertension in aged population in order to improve their quality of life and lower the incidence of the cardiovascular complications. The elderly are the most rapidly growing population group in the world. Data collected over a 30-year period have demonstrated the increasing prevalence of hypertension with age. The risk of coronary artery disease, stroke, congestive heart disease, chronic kidney insufficiency and dementia is also increased in this subgroup of hypertensives. Hypertension in the elderly patients represents a management dilemma to cardiovascular specialists and other practioners. During the last years and before the findings of the Systolic Hypertension in Europe Trial were published, the general medical opinion considered not to decrease blood pressure values similarly to other younger patients, in order to avoid possible ischemic events and poor oxygenation of the organs (brain, heart, kidney). The aim of this review article is to highlight the importance of treating hypertension in aged population in order to improve their quality of life and lower the incidence of the cardiovascular complications.
出处 《World Journal of Cardiology》 CAS 2012年第5期135-147,共13页 世界心脏病学杂志(英文版)(电子版)
关键词 HYPERTENSION ELDERLY PATHOPHYSIOLOGY TREATMENT Hypertension Elderly Pathophysiology Treatment
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  • 1JNC 7 Express: The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. U. S. National Institute of Health- National Heart, Lung, and Blood Institute,NIH Publication No. 03 - 5233, May 2003.
  • 2Claude Lenfant, Aram V. Chobanian, Danicl W. Jones, et al. Resetting the hypertension sails[J]. Hypertension, 2003,41:1178-1179.
  • 3Janice Hopkins Tanne. US guidelines say blood pressure of 120/80 mmHg is not "normal"[J].BMJ. 2003,326:1104.

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