Elderly Hypertensives: How Are They Different?

被引:40
作者
Franklin, Stanley S. [1 ]
机构
[1] Univ Calif Irvine, Dept Med, Heart Dis Prevent Program, Irvine, CA 92697 USA
关键词
ISOLATED SYSTOLIC HYPERTENSION; NUTRITION EXAMINATION SURVEY; DIASTOLIC BLOOD-PRESSURE; PULSE PRESSURE; AORTIC CALCIFICATION; NATIONAL-HEALTH; OLDER; RISK; DISEASE; MORTALITY;
D O I
10.1111/j.1751-7176.2012.00703.x
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Once considered an inconsequential part of the aging process, the development of isolated systolic hypertension represents a late manifestation of increased elastic artery stiffness and is the predominant hypertensive subtype in the middle-aged and elderly populations. Its inherent increased risk for vascular events, such as coronary heart disease, stroke, heart failure, peripheral artery disease, chronic kidney disease, and dementia, highlights the importance of its control. The purpose of this short review is to summarize how hypertension is different in the elderly when compared with "essential hypertension in younger adults. The emphasis will be on the multiple ways that increased artery stiffness affects the natural history and clinical manifestations of hypertension in the elderly. J Clin Hypertens (Greenwich). 2012;14:779786. (C) 2012 Wiley Periodicals, Inc.
引用
收藏
页码:779 / 786
页数:8
相关论文
共 41 条
[1]  
[Anonymous], 1991, JAMA, V265, P3255
[2]   ACCF/AHA 2011 Expert Consensus Document on Hypertension in the Elderly [J].
Aronow, Wilbert S. ;
Fleg, Jerome L. ;
Pepine, Carl J. ;
Artinian, Nancy T. ;
Bakris, George ;
Brown, Alan S. ;
Ferdinand, Keith C. ;
Forciea, Mary Ann ;
Frishman, William H. ;
Jaigobin, Cheryl ;
Kostis, John B. ;
Mancia, Giuseppi ;
Oparil, Suzanne ;
Ortiz, Eduardo ;
Reisin, Efrain ;
Rich, Michael W. ;
Schocken, Douglas D. ;
Weber, Michael A. ;
Wesley, Deborah J. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 57 (20) :2037-2114
[3]   Treatment of hypertension in patients 80 years of age or older [J].
Beckett, Nigel S. ;
Peters, Ruth ;
Fletcher, Astrid E. ;
Staessen, Jan A. ;
Liu, Lisheng ;
Dumitrascu, Dan ;
Stoyanovsky, Vassil ;
Antikainen, Riitta L. ;
Nikitin, Yuri ;
Anderson, Craig ;
Belhani, Alli ;
Forette, Francoise ;
Rajkumar, Chakravarthi ;
Thijs, Lutgarde ;
Banya, Winston ;
Bulpitt, Christopher J. .
NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (18) :1887-1898
[4]  
Björklund K, 2004, J HYPERTENS, V22, P1691
[5]   Blood pressure and mortality in elderly people aged 85 and older: community based study [J].
Boshuizen, HC ;
Izaks, GJ ;
van Buuren, S ;
Ligthart, GJ .
BMJ-BRITISH MEDICAL JOURNAL, 1998, 316 (7147) :1780-+
[6]   PREVALENCE OF HYPERTENSION IN THE US ADULT-POPULATION - RESULTS FROM THE 3RD NATIONAL-HEALTH AND NUTRITION EXAMINATION SURVEY, 1988-1991 [J].
BURT, VL ;
WHELTON, P ;
ROCCELLA, EJ ;
BROWN, C ;
CUTLER, JA ;
HIGGINS, M ;
HORAN, MJ ;
LABARTHE, D .
HYPERTENSION, 1995, 25 (03) :305-313
[7]   Stepwise increase in the prevalence of isolated systolic hypertension with the stages of chronic kidney disease [J].
Cheng, Li-Tao ;
Gao, Yan-Li ;
Gu, Yue ;
Zhang, Li ;
Bi, Shu-Hong ;
Tang, Wen ;
Wang, Tao .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2008, 23 (12) :3895-3900
[8]   CORONARY PLAQUE DISRUPTION [J].
FALK, E ;
SHAH, PK ;
FUSTER, V .
CIRCULATION, 1995, 92 (03) :657-671
[9]   Predominance of isolated systolic hypertension among middle-aged and elderly US hypertensives - Analysis based on National Health and Nutrition Examination Survey (NHANES) III [J].
Franklin, SS ;
Jacobs, MJ ;
Wong, ND ;
L'Italien, GJ ;
Lapuerta, P .
HYPERTENSION, 2001, 37 (03) :869-874
[10]   Predictors of new-onset diastolic and systolic hypertension - The Framingham heart study [J].
Franklin, SS ;
Pio, JR ;
Wong, ND ;
Larson, MG ;
Leip, EP ;
Vasan, RS ;
Levy, D .
CIRCULATION, 2005, 111 (09) :1121-1127