American Medical Association, 2 West Washington Street - Suite 601, Greenville, SC 29601, USA; Medical University of South Carolina, Greenville, SC, USA; Medical University of South Carolina, Charleston, SC, USA.
Washington University School of Medicine, 660 South Euclid Avenue, CB 8086, St Louis, MO 63110, USA.
Clin Geriatr Med. 2024 Nov;40(4):551-571. doi: 10.1016/j.cger.2024.04.008. Epub 2024 Aug 1.
Hypertension impacts most older adults as one of many multiple chronic conditions. A thorough evaluation is required to assess overall health, cardiovascular status, and comorbid conditions that impact treatment targets. In the absence of severe frailty or dementia, intensive treatment prevents more cardiovascular events than standard treatment and may slow cognitive decline. "Start low and go slow" is not the best strategy for many older adults as fewer cardiovascular events occur when hypertension is controlled within the first 3 to 6 months of treatment.
高血压是许多多种慢性疾病之一，影响大多数老年人。需要进行全面评估，以评估整体健康状况、心血管状况和影响治疗目标的合并症。在没有严重虚弱或痴呆的情况下，强化治疗可预防更多的心血管事件，而标准治疗可能会减缓认知能力下降。对于许多老年人来说，“低起点、慢节奏”并不是最佳策略，因为在治疗的头 3 至 6 个月内控制高血压可减少心血管事件的发生。
