Volume 10 Issue 2
Sep.  2020
Turn off MathJax
Article Contents
Ling LI, Li-gang FANG. Pay Attention to the Treatment and Management of Hypertension in the Elderly[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(2): 112-116. doi: 10.3969/j.issn.1674-9081.2019.02.005
Citation: Ling LI, Li-gang FANG. Pay Attention to the Treatment and Management of Hypertension in the Elderly[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(2): 112-116. doi: 10.3969/j.issn.1674-9081.2019.02.005

Pay Attention to the Treatment and Management of Hypertension in the Elderly

doi: 10.3969/j.issn.1674-9081.2019.02.005
More Information
  • Corresponding author: FANG Li-gang Tel:010-69155067,E-mail:fanglgpumch@sina.com
  • Received Date: 2018-12-03
  • Publish Date: 2020-09-18
  • With the acceleration of population aging in China, the number of older people with hypertension is increasing year by year. In general, elderly is defined as ≥65 years old. Compared to middle-aged and young patients, the elderly with hypertension have their own particularity and the cardiovascular events significantly increase. Older patients are more likely to have isolated systolic hypertension, raised pulse pressure, an obvious variation of blood pressure(BP), and associated complications. Therefore, BP control in the elderly presents more difficulties than in younger people. Antihypertensive treatment for older patients should aim to protect target organs and reduce the incidence of cardio-cerebrovascular events. The benefits of BP treatment in older patients will be influenced by the patients' tolerance to treatment and potentially harmful effects of BP-lowering treatment. In order to attain a safe and steady BP-lowering, it is especially important to take individualized treatment strategies based on complete clinical evaluation and careful monitoring of patients. The target BP < 150/90 mm Hg (1 mm Hg=0.133 kPa) is recommended in older hypertensive patients.
  • loading
  • [1] 中国居民营养与健康状况调查技术执行组.中国居民2002年营养与健康状况调查[J].中华流行病学杂志, 2005, 26:478-484. doi:  10.3760/j.issn:0254-6450.2005.07.004
    [2] Williamson JD, Supiano MA, Applegate WB, et al. Intensive vs Standard Blood Pressure Control and Cardiovascular Disease Outcomes in Adults Aged ≥75 Years: a Randomized Clinical Trial[J]. JAMA, 2016, 315:2673-2682. doi:  10.1001/jama.2016.7050
    [3] Wright JT Jr, Williamson JD, Whelton PK, et al. A randomized trial of intensive versus standard blood-pressure control[J]. N Engl J Med, 2015, 373:2103-2116. doi:  10.1056/NEJMoa1511939
    [4] Beckett NS, Peters R, Fletcher AE, et al. Treatment of hypertension in patients 80 years of age older[J]. N Engl J Med, 2008, 358:1887-1898. doi:  10.1056/NEJMoa0801369
    [5] 中国高血压防治指南修订委员会.中国高血压防治指南2018年修订版[M].北京: 中国医药科技出版社, 2018.
    [6] 中国降压治疗预防卒中再发研究协作组.脑血管病患者脉压水平与脑卒中再发关系[J].中国循环杂志, 2003, 18:284-287. doi:  10.3321/j.issn:1000-3614.2003.04.014
    [7] Yu D, Simmons D. Association between pulse pressure and risk of hospital admissions for cardiovascular events among people with Type 2 diabetes: a population-based case-control study[J]. Diabet Med, 2015, 32:1201-1206. doi:  10.1111/dme.12693
    [8] Wang JG, Staessen JA, Gong L, et al. Chinese trial on isolated systolic hypertension in the elderly. Systolic Hypertension in China(Syst-China) Collaborative Group[J]. Arch Intern Med, 2000, 160:211-220. doi:  10.1001/archinte.160.2.211
    [9] 中华医学会老年医学分会, 中国医师协会高血压专业委员会.老年人高血压特点与临床诊治流程专家建议[J].中华老年医学杂志, 2014, 33:689-701. doi:  10.3760/cma.j.issn.0254-9026.2014.07.001
    [10] 中国老年学和老年医学会心脑血管病专业委员会, 中国医师协会心血管内科医师分会.老年高血压的诊断与治疗中国专家共识(2017版)[J].中华内科杂志, 2017, 56:885-893. doi:  10.3760/cma.j.issn.0578-1426.2017.11.00.024
    [11] Benetos A, Bulpitt CJ, Petrovic M, et al. An expert opinion from the European Society of Hypertension European Union Geriatric Medicine Society Working Group on the Management of Hypertension in very old, frail subjects[J]. Hypertension, 2016, 67:820-825. doi:  10.1161/HYPERTENSIONAHA.115.07020
    [12] Materson BJ, Garcia-Estrada M, Preston RA. Hypertension in the frail elderly[J]. J Am Soc Hypertens, 2016, 10:536-541. doi:  10.1016/j.jash.2016.03.187
    [13] Gong L, Zhang W, Zhu Y, et al. Shanghai trial of nifedipine in the elderly(STONE)[J]. J Hypertens, 1996, 14:1237-1245. doi:  10.1097/00004872-199610000-00013
    [14] Nerenberg KA, Zarnke KB, Leung AA, et al. Hypertension Canada's 2018 guidelines for diagnosis, risk assessment, prevention, and treatment of hypertension in adults and children[J]. Can J Cardiol, 2018, 34:506-525. doi:  10.1016/j.cjca.2018.02.022
    [15] Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/ AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ ASPC/NMA/ PCNA Guideline for the Prevention, Evaluation, and Management of High Blood pressure in Adults: A Report of the American of Cardiology/American Heart Association Task Force on Clinical Practice Guideline[J]. J AM Coll Cardiol, 2018, 71:2199-2269. doi:  10.1016/j.jacc.2017.11.005
    [16] Williams B, Mancia G, Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the managenment of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension[J]. J Hypertens, 2018, 36:1953-2041. doi:  10.1097/HJH.0000000000001940
    [17] James PA, Oparil S, Carter BL, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8)[J]. JAMA, 2014, 311:507-520. doi:  10.1001/jama.2013.284427
    [18] 胡大一, 刘力生, 余金明, 等.中国门诊高血压患者治疗现状登记研究[J].中华心血管病杂志, 2010, 38:230-238. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zhxxgb201003007
    [19] Bulpitt CJ, Beckett NS, Peters R, et al. Blood pressure control in the Hypertension in the Very Elderly Trial (HYVET)[J]. J Hum Hypertens, 2012, 26:157-163. doi:  10.1038/jhh.2011.10
    [20] Leung AA, Daskalopoulou SS, Dasgupta K, et al. Hypertension Canada's 2017 guidelines for diagnosis, risk assessment, prevention, and treatment of hypertension in adults[J]. Can J Cardiol, 2017, 33:557-576. doi:  10.1016/j.cjca.2017.03.005
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(1)

    Article Metrics

    Article views (612) PDF downloads(309) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return