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老年高血压降压治疗目标值争议 被引量:2

Appropriate target blood pressure level in elderly patients with hypertension
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摘要 一直以来,临床研究和实践中对老年患者降压治疗的目标值存在着争议。随着HYVET研究的公布,以及近年来对降压治疗J型曲线的认识,目前高血压指南和临床认识趋于一致:老年患者可从降压治疗中获益,降压目标值不宜过低;同时强调个体化治疗。 There has been a debate about the target blood pressure level of anti-hypertensive treatment in elderly patients for a long time.With the publication of HYVET study,and the recognition of J curve in recent years,the recommendation and understandings in guideline and clinical practice for hypertension in elderly patients reached agreement;these patients can definitely benefit from the therapy of anti-hypertension,but too lower target blood pressure level may not be favourable;meanwhile therapy regimen should be made individually.
出处 《中华老年多器官疾病杂志》 2011年第3期204-206,共3页 Chinese Journal of Multiple Organ Diseases in the Elderly
关键词 高血压 治疗 老年人 hypertension therapy elderly
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  • 1Gueyffier F, Bulpitt C, Boissel JP, et al. Antihypertensive drugs in very old people: a subgroup meta-analysis of randomised clinical trials. INDANA Group[J]. Lancet, 1999, 353(9155):793-796. 被引量:1
  • 2Curb JD, Pressel SL, Cutler JA, et al. Effect of diuretic-based antihypertensive treatment on cardiovascular disease risk in older diabetic patients with isolated systolic hypertension. Systolic Hypertension in the Elderly Program Cooperative Research Group[J]. JAMA, 1996, 276(23): 1886-1892. 被引量:1
  • 3Messerli FH, Mancia G, Conti CR, et al. Dogma disputed: can aggressively lowering blood pressure in hypertensive patients with coronary artery disease be dangerous[J]? Ann Intern Med, 2006, 144(12): 884 -893. 被引量:1
  • 4Mancia G, Laurent S, Agabiti-Rosei E, et al. Reappraisal of European guidelines on hypertension management: a European Society of Hypertension Task Force document[J]. J Hypertens, 2009, 27(11): 2121-2158. 被引量:1

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