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老年和虚弱患者的高血压管理。

Management of Hypertension in the Elderly and Frail Patient.

机构信息

Department of Medicine and Surgery, University of Insubria, Varese, Italy.

Cardiovascular Rehabilitation Unit, ASST Crema, Rivolta D'Adda Hospital, Rivolta d'Adda, Cremona, Italy.

出版信息

Drugs Aging. 2022 Oct;39(10):763-772. doi: 10.1007/s40266-022-00966-7. Epub 2022 Jul 29.

Abstract

Hypertension is a frequent finding in elderly patients. Hypertension in older age can be both associated with frailty and represent a risk factor for frailty. Hypertension is recognized as a main risk factor for cardiovascular diseases such as heart failure, atrial fibrillation, and stroke and the occurrence of these diseases may provoke a decline in health status and/or worsen the degree of frailty. Blood pressure targets in hypertensive older and frail patients are not completely defined. However, specific evaluations of individual patients and their co-morbidities and assessment of domains and components of frailty, together with weighted consideration of drug use, may help in finding the appropriate therapy.

摘要

高血压在老年患者中较为常见。老年高血压既与衰弱有关,又可作为衰弱的一个危险因素。高血压被认为是心力衰竭、心房颤动和中风等心血管疾病的主要危险因素,这些疾病的发生可能会导致健康状况下降和/或使衰弱程度恶化。高血压老年和虚弱患者的血压目标尚未完全明确。然而,对个体患者及其合并症进行具体评估,以及对衰弱的领域和组成部分进行评估,并综合考虑药物使用情况,可能有助于找到合适的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a166/9553775/4f209ebc1ad4/40266_2022_966_Fig1_HTML.jpg

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