Department of Medicine and Surgery, University of Insubria, Varese, Italy.
Cardiovascular Rehabilitation Unit, ASST Crema, Rivolta D'Adda Hospital, Rivolta d'Adda, Cremona, Italy.
Drugs Aging. 2022 Oct;39(10):763-772. doi: 10.1007/s40266-022-00966-7. Epub 2022 Jul 29.
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.
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。