Zhonghua Nei Ke Za Zhi. 2017 Nov 1;56(11):885-893. doi: 10.3760/cma.j.issn.0578-1426.2017.11.024.
China has stepped into an aging society. Hypertension is an independent risk factor of cardio-cerebrovascular diseases and related to mortality and disability of the elderly. Compared to middle-aged and young patients with similar blood pressure elevation, the risks of cardiovascular and cerebrovascular events significantly increase in the elderly. Since the Chinese expert consensus on the diagnosis and treatment of hypertension in the elderly(2008, 2011 version) were published, many guidelines have been accordingly updated, which further improved the prevention and control strategy of hypertension. In this article, Chinese expert consensus on the diagnosis and treatment of hypertension in the elderly(2017) is revised as to facilitate the prevention and treatment of hypertension in Chinese elderly. The consensus is composed of eight parts, including definition, epidemiology, characteristics, evidence, treatment objectives and measurements of elderly hypertension. The purpose of the consensus is to provide guidance for management of elderly hypertensive patients.
中国已步入老龄化社会。高血压是心脑血管疾病的独立危险因素,与老年人的死亡率和残疾率相关。与血压升高程度相似的中青年患者相比,老年人发生心脑血管事件的风险显著增加。自《中国老年高血压诊断与治疗专家共识(2008、2011版)》发布以来,多项指南随之更新,进一步完善了高血压防治策略。本文对《中国老年高血压诊断与治疗专家共识(2017版)》进行修订,以促进我国老年高血压的防治工作。该共识共分为八个部分,包括老年高血压的定义、流行病学、特点、证据、治疗目标和措施等。本共识旨在为老年高血压患者的管理提供指导。