QUALITY-OF-LIFE AND ANTIHYPERTENSIVE DRUGS IN THE ELDERLY

被引:9
作者
FLETCHER, A
BULPITT, C
机构
[1] Epidemiology Research Unit, Division of Geriatric Medicine, Royal Postgraduate Medical School, Hammersmith Hospital, London, W12 OHS, Du Cane Road
来源
AGING-CLINICAL AND EXPERIMENTAL RESEARCH | 1992年 / 4卷 / 02期
关键词
ANTIHYPERTENSIVE DRUGS; ELDERLY; QUALITY OF LIFE;
D O I
10.1007/BF03324077
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Hypertension is common in the elderly with estimates of around 10-20% showing a sustained level of pressure, either systolic (greater-than-or-equal-to 160 mmHg), or diastolic (greater-than-or-equal-to 90 mmHg) or both. The benefits of treating subjects with raised diastolic pressure was shown by the trials of the European Working Party on High Blood Pressure in the Elderly (EWPHE), the Hypertension in Elderly Patients in Primary Care (HEP), and the Swedish Trial in Old patients with Hypertension (STOP-Hypertension). Evidence for the benefit of treating isolated systolic hypertension in the elderly was provided in one trial (SHEP: Systolic Hypertension in the Elderly Program), and the results of two others are awaited. However, it is important to provide data on all treatment effects, including adverse reactions as well as benefits. In addition to traditional measures of mortality, morbidity and side effects, the quality of life in patients on antihypertensive treatment should be considered. The methods of measuring quality of life in trials is discussed, and some results presented.
引用
收藏
页码:115 / 123
页数:9
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