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最佳血压目标与年龄相关。

Optimal Blood Pressure Targets with Age.

机构信息

Division of Geriatrics, Spencer Fox Eccles School of Medicine, Center on Aging, University of Utah, 30 North Mario Capecchi Drive, 2nd Floor North, Salt Lake City, UT 84112, USA.

出版信息

Clin Geriatr Med. 2024 Nov;40(4):585-595. doi: 10.1016/j.cger.2024.04.002. Epub 2024 May 10.

Abstract

The focus of antihypertensive therapy in older adults should be on lowering the systolic blood pressure (SBP) to the patient's "optimal" benefit-based target goal. Applying benefit-based therapy to the majority of adults aged 65 years or older who are at high cardiovascular disease or cognitive impairment risk favors an SBP goal of less than 130 mm Hg, and for some, a goal of 120 mm Hg may be considered.

摘要

降压治疗的重点应放在降低老年患者的收缩压 (SBP) 至基于获益的“最佳”目标。对大多数患有高心血管疾病或认知障碍风险的 65 岁或以上成年人采用基于获益的治疗方法,有利于将 SBP 目标设定为低于 130mmHg,对于某些人,可能考虑将目标设定为 120mmHg。

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本文引用的文献

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Blood Pressure and Cognitive Function in Older Adults.老年人的血压与认知功能。
Clin Geriatr Med. 2024 Nov;40(4):597-613. doi: 10.1016/j.cger.2024.04.003. Epub 2024 May 9.
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Trial of Intensive Blood-Pressure Control in Older Patients with Hypertension.老年高血压患者强化血压控制试验。
N Engl J Med. 2021 Sep 30;385(14):1268-1279. doi: 10.1056/NEJMoa2111437. Epub 2021 Aug 30.

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