Cardiology Division, Department of Medicine, Westchester Medical Center and New York Medical College, Macy Pavilion, Room 141, Valhalla, NY, 10595, USA.
Curr Hypertens Rep. 2017 Oct 18;19(11):88. doi: 10.1007/s11906-017-0785-3.
On the basis of the available data, we would diagnose a normal blood pressure in elderly persons including those 75 years of age and older if the blood pressure was below 120/80 mmHg. We would diagnose hypertension in elderly persons including those aged 75 years and older if the systolic blood pressure was 130 mmHg and higher or if the diastolic blood pressure was 80 mmHg and higher. We would treat these elderly patients with hypertension to a blood pressure goal of less than 130/80 mmHg if the blood pressure was obtained by automated blood pressure monitoring in a quiet room. We would consider treating high-risk persons aged 75 years and older to a blood pressure goal of less than 120/80 mmHg if they were carefully monitored for serious adverse events. If the blood pressure is more than 20/10 mmHg above the goal blood pressure, we would initiate antihypertensive drug therapy with two antihypertensive drugs. The initial drug of choice for the treatment of hypertension in adults aged 75 years and older should be based on co-morbidities, co-incidental indications, tolerability, and cost.
基于现有数据，如果血压低于 120/80mmHg，我们将诊断 75 岁及以上老年人的血压正常。如果 75 岁及以上老年人的收缩压为 130mmHg 及以上，或舒张压为 80mmHg 及以上，我们将诊断为老年人高血压。如果通过安静室内自动血压监测获得血压，我们将对这些老年高血压患者进行治疗，使其血压目标值低于 130/80mmHg。如果对 75 岁及以上的高危人群进行仔细监测以防止严重不良事件，我们将考虑将其血压目标值设定为低于 120/80mmHg。如果血压比目标血压高 20/10mmHg 以上，我们将开始使用两种降压药物进行降压药物治疗。治疗 75 岁及以上成年人高血压的初始药物选择应基于合并症、合并症指征、耐受性和成本。
