Hypertension in elderly

Asit R. Mehta
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引用次数: 2

Abstract

Hypertension is a common problem encountered in day to day practice by physicians and often termed as “silent killer” because patients with mild to moderate disease are often asymptomatic. By the time symptoms appear due to organ damage, therapeutic options remain limited.

A clinical diagnosis of hypertension is established by demonstrating a systolic blood pressure (SBP) >140 mmHg and/or a diastolic blood pressure (DBP) >90 mmHg on at least 2 occasions as summarized in “The Seventh Report of Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure”.1 However the usual definition of hypertension and target BP levels might not be applicable to the elderly hypertensive population. Also criteria for categorizing BP vary and have not been further characterized for the elderly.

老年人高血压
高血压是医生在日常实践中遇到的常见问题,通常被称为“沉默杀手”,因为轻至中度疾病的患者通常无症状。由于器官损伤而出现症状时,治疗选择仍然有限。根据“高血压的预防、检测、评估和治疗全国联合委员会第七次报告”的总结,至少两次显示收缩压(SBP)≥140 mmHg和/或舒张压(DBP)≥90 mmHg,即可建立高血压的临床诊断然而,通常的高血压和目标血压水平的定义可能并不适用于老年高血压人群。此外,BP的分类标准各不相同,尚未对老年人进行进一步的描述。
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