Systemic arterial hypertension in the elderly. Recommendations for clinical practice
Hypertension is common in people aged 65 and older. In those aged 70 and older, hypertension is more poorly controlled than in those whose age is between 60 and 69 years. The number of trials available concerning the elderly population is limited; therefore, strong recommendations on blood pressure...
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Published in | Revista médica (Mexico : 1983) Vol. 54 Suppl 1; p. s75 |
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Main Authors | , , , , |
Format | Journal Article |
Language | Spanish |
Published |
Mexico
2016
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Subjects | |
Online Access | Get full text |
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Abstract | Hypertension is common in people aged 65 and older. In those aged 70 and older, hypertension is more poorly controlled than in those whose age is between 60 and 69 years. The number of trials available concerning the elderly population is limited; therefore, strong recommendations on blood pressure (BP) goals are limited. The American College of Cardiology has recently published a consensus report of management of hypertension in the elderly population. This review presents an overview of that consensus report and reviews specific studies that provide some novel findings regarding BP goals and the progression of nephropathy. In general, the evidence strongly supports a BP goal < 150/80 mm Hg for the elderly with scant data in those aged 80 and older. However, it was decided to set the goal < 140/90 mm Hg, unless the patient cannot tolerate it, and then try to achieve 140-145 mm Hg. Diuretics and calcium antagonists are the most efficient treatment; however, most patients will require two or more drugs to achieve such goals. |
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AbstractList | Hypertension is common in people aged 65 and older. In those aged 70 and older, hypertension is more poorly controlled than in those whose age is between 60 and 69 years. The number of trials available concerning the elderly population is limited; therefore, strong recommendations on blood pressure (BP) goals are limited. The American College of Cardiology has recently published a consensus report of management of hypertension in the elderly population. This review presents an overview of that consensus report and reviews specific studies that provide some novel findings regarding BP goals and the progression of nephropathy. In general, the evidence strongly supports a BP goal < 150/80 mm Hg for the elderly with scant data in those aged 80 and older. However, it was decided to set the goal < 140/90 mm Hg, unless the patient cannot tolerate it, and then try to achieve 140-145 mm Hg. Diuretics and calcium antagonists are the most efficient treatment; however, most patients will require two or more drugs to achieve such goals. |
Author | Madrid-Miller, Alejandra Ramírez-Arias, Erick Pérez-Rodríguez, Gilberto Borrayo-Sánchez, Gabriela Rosas-Peralta, Martín |
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DocumentTitleAlternate | Hipertensión arterial sistémica en el adulto mayor. Recomendaciones para la práctica clínica |
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SubjectTerms | Age Factors Aged Aged, 80 and over Antihypertensive Agents - therapeutic use Humans Hypertension - complications Hypertension - drug therapy Practice Guidelines as Topic |
Title | Systemic arterial hypertension in the elderly. Recommendations for clinical practice |
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