Hypertension in the elderly: Some practical considerations

被引：27
作者：
Chaudhry, Kashif N. [1 ]
Chavez, Patricia [3 ]
Gasowski, Jerzy [2 ]
Grodzicki, Tomasz [2 ]
Messerli, Franz H. [3 ]
机构：
[1] Englewood Hosp Program, Mt Sinai Sch Med, Englewood, NJ USA
[2] Jagiellonian Univ, Dept Internal Med & Gerontol, Krakow, Poland
[3] Columbia Univ, Coll Phys & Surg, St Lukes Roosevelt Hosp Ctr, New York, NY 10019 USA
来源：
CLEVELAND CLINIC JOURNAL OF MEDICINE | 2012年 / 79卷 / 10期
关键词：
OBSTRUCTIVE SLEEP-APNEA; POSITIVE AIRWAY PRESSURE; RENAL-ARTERY STENOSIS; DIURETIC-INDUCED HYPONATREMIA; BLOOD-PRESSURE; COGNITIVE DECLINE; SYSTOLIC HYPERTENSION; CARDIOVASCULAR EVENTS; DIETARY-SODIUM; OLDER PERSONS;
D O I：
10.3949/ccjm.79a.12017
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Data from randomized controlled trials suggest that treating hypertension in the elderly, including octogenarians, may substantially reduce the risk of cardiovascular disease and death. However, treatment remains challenging because of comorbidities and aging-related changes. We present common case scenarios encountered while managing elderly patients with hypertension, including secondary hypertension, adverse effects of drugs, labile hypertension, orthostatic hypotension, and dementia.
引用
收藏
页码：694 / 704
页数：11
相关论文
共 58 条
  • [1] Effects of reduced sodium intake on hypertension control in older individuals -: Results from the trial of nonpharmacologic interventions in the elderly (TONE)
    Appel, LJ
    Espeland, MA
    Easter, L
    Wilson, AC
    Folmar, S
    Lacy, CR
    [J]. ARCHIVES OF INTERNAL MEDICINE, 2001, 161 (05) : 685 - 693
  • [2] Aronow WS, 2011, J AM SOC HYPERTENS, V5, P259, DOI [10.1016/j.jash.2011.06.001, 10.1016/j.jacc.2011.01.008]
  • [3] Stent Placement in Patients With Atherosclerotic Renal Artery Stenosis and Impaired Renal Function A Randomized Trial
    Bax, Liesbeth
    Woittiez, Arend-Jan J.
    Kouwenberg, Hans J.
    Mali, Willem P. T. M.
    Buskens, Erik
    Beek, Frederik J. A.
    Braam, Branko
    Huysmans, Frans T. M.
    Kool, Leo J. Schultze
    Rutten, Matthieu J. C. M.
    Doorenbos, Cornelius J.
    Aarts, Johannes C. N. M.
    Rabelink, Ton J.
    Plouin, Pierre-Francois
    Raynaud, Alain
    van Montfrans, Gert A.
    Reekers, Jim A.
    van den Meiracker, Anton H.
    Pattynama, Peter M. T.
    van de Ven, Peter J. G.
    Vroegindeweij, Dammis
    Kroon, Abraham A.
    de Haan, Michiel W.
    Postma, Cornelis T.
    Beutler, Jaap J.
    [J]. ANNALS OF INTERNAL MEDICINE, 2009, 150 (12) : 840 - U41
  • [4] Effect of nasal continuous positive airway pressure treatment on blood pressure in patients with obstructive sleep apnea
    Becker, HF
    Jerrentrup, A
    Ploch, T
    Grote, L
    Penzel, T
    Sullivan, CE
    Peter, JH
    [J]. CIRCULATION, 2003, 107 (01) : 68 - 73
  • [5] Treatment of hypertension in patients 80 years of age or older
    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.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (18) : 1887 - 1898
  • [6] Association of hypertension and sleep-disordered breathing
    Bixler, EO
    Vgontzas, AN
    Lin, HM
    Ten Have, T
    Leiby, BE
    Vela-Bueno, A
    Kales, A
    [J]. ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (15) : 2289 - 2295
  • [7] A further subgroup analysis of the effects of the DASH diet and three dietary sodium levels on blood pressure: Results of the DASH-sodium trial
    Bray, GA
    Vollmer, WM
    Sacks, FM
    Obarzanek, E
    Svetkey, LP
    Appel, LI
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 2004, 94 (02) : 222 - 227
  • [8] Ageing populations: the challenges ahead
    Christensen, Kaare
    Doblhammer, Gabriele
    Rau, Roland
    Vaupel, James W.
    [J]. LANCET, 2009, 374 (9696) : 1196 - 1208
  • [9] Effect of continuous positive airway pressure on blood pressure - A placebo trial
    Dimsdale, JE
    Loredo, JS
    Profant, J
    [J]. HYPERTENSION, 2000, 35 (01) : 144 - 147
  • [10] Orthostatic Hypotension Is a More Robust Predictor of Cardiovascular Events Than Nighttime Reverse Dipping in Elderly
    Fagard, Robert H.
    De Cort, Paul
    [J]. HYPERTENSION, 2010, 56 (01) : 56 - 61
123456