Hypertension in the Older Adult

被引:22
作者
Setters, Belinda [1 ,2 ]
Holmes, Holly M. [3 ]
机构
[1] Univ Louisville, Sch Med, Robley Rex VAMC, Dept Internal Med, 800 Zorn Ave,6 West,GEC 627, Louisville, KY 40206 USA
[2] Univ Louisville, Sch Med, Robley Rex VAMC, Inpatient Geriatr,Dept Family & Geriatr Med, 800 Zorn Ave,6 West,GEC 627, Louisville, KY 40206 USA
[3] Univ Texas Houston, McGovern Med Sch, Dept Internal Med, Geriatr & Palliat Med, 6431 Fannin,MBS 5-111, Houston, TX 77030 USA
来源
PRIMARY CARE | 2017年 / 44卷 / 03期
关键词
Hypertension; Elderly hypertension; Blood pressure; Geriatric; COLLEGE-OF-CARDIOLOGY; BLOOD-PRESSURE; SCIENTIFIC STATEMENT; AMERICAN SOCIETY; HEART-DISEASE; TASK-FORCE; MANAGEMENT; ASSOCIATION; GERIATRICS; FRAIL;
D O I
10.1016/j.pop.2017.05.002
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Hypertension is common among adults and is associated with significant morbidity and mortality and should be routinely addressed in primary care practice. Optimal blood pressure targets have evolved in the past decade with the release of large studies including older persons. However, controversy remains regarding the treatment of older and frail patients. The relationship between blood pressure treatment and falls or cognitive impairment is still an area of concern and debate. A strategy to address hypertension in older persons should consider an individual's fitness and the likelihood of adverse effects and worsening of conditions that adversely affect quality of life.
引用
收藏
页码:529 / +
页数:12
相关论文
共 35 条
[1]   Hypertension in Older Persons: A Systematic Review of National and International Treatment Guidelines [J].
Alhawassi, Tariq M. ;
Krass, Ines ;
Pont, Lisa G. .
JOURNAL OF CLINICAL HYPERTENSION, 2015, 17 (06) :486-492
[2]   Treating hypertension and prehypertension in older people: When, whom and how [J].
Aronow, Wilbert S. .
MATURITAS, 2015, 80 (01) :31-36
[3]  
Aronow WS, 2011, J AM SOC HYPERTENS, V5, P259, DOI [10.1016/j.jash.2011.06.001, 10.1016/j.jacc.2011.01.008]
[4]   J-curve revisited: an analysis of blood pressure and cardiovascular events in the Treating to New Targets (TNT) Trial† [J].
Bangalore, Sripal ;
Messerli, Franz H. ;
Wun, Chuan-Chuan ;
Zuckerman, Andrea L. ;
DeMicco, David ;
Kostis, John B. ;
LaRosa, John C. .
EUROPEAN HEART JOURNAL, 2010, 31 (23) :2897-2908
[5]   Polypharmacy in the Aging Patient Management of Hypertension in Octogenarians [J].
Benetos, Athanase ;
Rossignol, Patrick ;
Cherubini, Antonio ;
Joly, Laure ;
Grodzicki, Tomasz ;
Rajkumar, Chakravarthi ;
Strandberg, Timo E. ;
Petrovic, Mirko .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2015, 314 (02) :170-180
[6]   Generalizability of SPRINT Results to the US Adult Population [J].
Bress, Adam P. ;
Tanner, Rikki M. ;
Hess, Rachel ;
Colantonio, Lisandro D. ;
Shimbo, Daichi ;
Muntner, Paul .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2016, 67 (05) :463-472
[7]   Hypertension and aging [J].
Buford, Thomas W. .
AGEING RESEARCH REVIEWS, 2016, 26 :96-111
[8]  
Dai XM, 2015, J GERIATR CARDIOL, V12, P196, DOI 10.11909/j.issn.1671-5411.2015.03.015
[9]   US Trends in Prevalence, Awareness, Treatment, and Control of Hypertension, 1988-2008 [J].
Egan, Brent M. ;
Zhao, Yumin ;
Axon, R. Neal .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2010, 303 (20) :2043-2050
[10]  
Franklin SS, 2001, CIRCULATION, V103, P1245