期刊
EXPERT REVIEW OF CARDIOVASCULAR THERAPY
卷 9, 期 1, 页码 113-120出版社
TAYLOR & FRANCIS INC
DOI: 10.1586/ERC.10.171
关键词
aging; clinical practice guidelines; elderly; hypertension; knowledge translation
Hypertension, especially isolated systolic hypertension, is commonly found in older (60-79 years of age) and elderly (>= 80 years of age) people. Antihypertensive drug therapy should be considered in all aging hypertensive patients, as treatment greatly reduces cardiovascular events. Most classes of antihypertensive medications may be used as first-line treatment with the possible exception of a-and b-blockers. An initial blood pressure treatment goal is less than 140/90 mmHg in all older patients and less than 150/80 mmHg in the nonfrail elderly. The current paradigm of delaying therapeutic interventions until people are at moderate or high cardiovascular risk, a universal feature of hypertensive patients over 60 years of age, leads to vascular injury or disease that is only partially reversible with treatment. Future management will likely focus on intervening earlier to prevent accelerated vascular aging and irreversible arterial damage.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据