Puras A, Alcázar J M, Miranda B, Oliet A, Rodicio J L, Ruilope L M
Med Clin (Barc). 1989 Feb 25;92(7):245-9.
The response to different therapeutic schedules in arterial hypertension in the elderly is studied and compared with response to treatment in younger patients. Blood pressure in the elderly was best controlled with non pharmacologic measures and low doses of diuretics; there were no differences between both groups with respect to complications and side effects. The response to angiotensin-converting enzyme inhibitors is also evaluated, presenting good results on blood pressure control without side effects in the elderly, although efficaciousness was higher in younger patients. The possible therapeutic schedules in arterial hypertension in the aged are discussed.
研究了老年高血压患者对不同治疗方案的反应,并与年轻患者的治疗反应进行了比较。老年患者的血压通过非药物措施和低剂量利尿剂能得到最佳控制;两组在并发症和副作用方面没有差异。还评估了血管紧张素转换酶抑制剂的反应,其在老年患者中对血压控制呈现出良好效果且无副作用,尽管在年轻患者中的疗效更高。讨论了老年高血压可能的治疗方案。