Kjeldsen Sverre E, Stenehjem Aud, Os Ingrid, Van de Borne Philippe, Burnier Michel, Narkiewicz Krzysztof, Redon Josep, Agabiti Rosei Enrico, Mancia Giuseppe
a Departments of Cardiology and Nephrology , Oslo University Hospital , Ullevål.
b Faculty of Medicine , University of Oslo , Oslo , Norway.
Blood Press. 2016 Dec;25(6):333-336. doi: 10.1080/08037051.2016.1236329. Epub 2016 Sep 23.
The European Society of Hypertension recommend the following main rules for treatment of hypertension in elderly and octogenarians: 1) In elderly hypertensives with SBP ≥ 160 mmHg there is solid evidence to recommend reducing SBP to between 140 mmHg and 150 mmHg. 2) In fit elderly patients less than 80 years old treatment may be considered at SBP ≥ 140 mmHg with a target SBP < 140 mmHg if treatment is well tolerated. 3) In fit individuals older than 80 years with an initial SBP ≥ 160 mmHg it is recommended to reduce SBP to between 150 mmHg and 140 mmHg. 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.
1）对于收缩压≥160mmHg的老年高血压患者，有确凿证据建议将收缩压降至140mmHg至150mmHg之间。2）对于年龄小于80岁且身体状况良好的老年患者，如果治疗耐受性良好，收缩压≥140mmHg时可考虑治疗，目标收缩压<140mmHg。3）对于年龄大于80岁且身体状况良好、初始收缩压≥160mmHg的个体，建议将收缩压降至150mmHg至140mmHg之间。4）对于身体虚弱的老年患者，建议根据合并症做出治疗决策，并仔细监测治疗效果。5）当接受治疗的个体进入八旬老人阶段时，应考虑继续使用耐受性良好的抗高血压治疗。6）推荐所有抗高血压药物，均可用于老年人，尽管在单纯收缩期高血压中利尿剂和钙拮抗剂可能更受青睐。
