Hypertension in the elderly: Some practical considerations

被引:29
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
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
100201 [内科学];
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
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