Treatment of high blood pressure in elderly and octogenarians: European Society of Hypertension statement on blood pressure targets

被引：29

作者：

Kjeldsen, Sverre E. ^{[1
,2
,3
]}

Stenehjem, Aud ^{[1
,2
]}

Os, Ingrid ^{[1
,2
,3
]}

Van de Borne, Philippe ^{[4
]}

Burnier, Michel ^{[5
]}

Narkiewicz, Krzysztof ^{[6
]}

Redon, Josep ^{[7
]}

Rosei, Enrico Agabiti ^{[8
]}

Mancia, Giuseppe ^{[9
]}

机构：

[1] Oslo Univ Hosp, Dept Cardiol, Ulleval, Norway

[2] Oslo Univ Hosp, Dept Nephrol, Ulleval, Norway

[3] Univ Oslo, Fac Med, Oslo, Norway

[4] Clin Univ Bruxelles, Hop Erasme ULB, Brussels, Belgium

[5] CHU Vaudois, Serv Nephrol & Hypertens, Lausanne, Switzerland

[6] Med Univ Gdansk, Dept Hypertens & Diabetol, Gdansk, Poland

[7] Univ Valencia, Hosp Clin, Dept Internal Med, Valencia, Spain

[8] Univ Brescia, Clin Med, Dept Clin & Expt Sci, Brescia, Italy

[9] Univ Milano Bicocca, Milan, Italy

来源：

BLOOD PRESSURE | 2016年 / 25卷 / 06期

关键词：

Blood pressure-lowering treatment; blood pressure targets; elderly patients; European Society of Hypertension; octogenarians; SYSTOLIC HYPERTENSION; ACTIVE TREATMENT; OLDER PATIENTS; RISK; METAANALYSIS; MORBIDITY; PLACEBO; TRIAL; AGE;

D O I：

10.1080/08037051.2016.1236329

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

The European Society of Hypertension recommend the following main rules for treatment of hypertension in elderly and octogenarians: 1) In elderly hypertensives with SBP 160mmHg there is solid evidence to recommend reducing SBP to between 140mmHg and 150mmHg. 2) In fit elderly patients less than 80 years old treatment may be considered at SBP 140mmHg with a target SBP <140mmHg if treatment is well tolerated. 3) In fit individuals older than 80 years with an initial SBP 160mmHg it is recommended to reduce SBP to between 150mmHg and 140mmHg. 4) In frail elderly patients, it is recommended to base treatment decisions on comorbidity and carefully monitor the effects of treatment. 5) Continuation of well-tolerated antihypertensive treatment should be considered when a treated individual becomes octogenarian. 6) All hypertensive agents are recommended and can be used in the elderly, although diuretics and calcium antagonists may be preferred in isolated systolic hypertension.

引用

页码：333 / 336

页数：4

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