Cardiovascular Division, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8086, St Louis, MO 63110, USA.
Cardiovascular Division, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8086, St Louis, MO 63110, USA.
Heart Fail Clin. 2019 Oct;15(4):477-485. doi: 10.1016/j.hfc.2019.06.001. Epub 2019 Aug 2.
The incidence and prevalence of both hypertension (HTN) and heart failure (HF) increase progressively with age. As a result, hypertensive HF (HHF) is highly prevalent among older adults and is one of the most common phenotypes of HF in the very old. In this article, the authors provide an overview of the epidemiology, pathophysiology, clinical features, diagnosis, management, prognosis, and prevention of HHF in the elderly population. Reducing the prevalence of HTN and ameliorating the progression from HTN to HF hold the greatest promise for limiting the impact of HHF on the health and well-being of older adults.
高血压（HTN）和心力衰竭（HF）的发病率和患病率都随着年龄的增长而逐渐增加。因此，高血压性心力衰竭（HHF）在老年人中非常普遍，是非常老的人群中心力衰竭最常见的表型之一。本文作者概述了老年人中 HHF 的流行病学、病理生理学、临床特征、诊断、治疗、预后和预防。降低 HTN 的患病率并改善从 HTN 到 HF 的进展，对于限制 HHF 对老年人健康和福祉的影响最有希望。
