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Hipertensión sistólica aislada en ancianos. Algunas cuestiones polémicas
JAMA
|February 12, 1982
Resumen
La hipertensión sistólica en los ancianos aumenta el riesgo de mortalidad. El tratamiento con medicamentos antihipertensivos prudentes y de dosis bajas es bien tolerado y puede reducir el diagnóstico de esta afección.
Área de la Ciencia:
- Medicina Geriátrica La medicina geriátrica es una especialidad de la medicina geriátrica.
- Salud Cardiovascular La salud cardiovascular.
- Farmacología Farmacología.
Sus antecedentes:
- La hipertensión sistólica en los ancianos está poco investigada, pero está relacionada con un aumento de la mortalidad y la morbilidad.
- La causa exacta del aumento del riesgo (presión arterial elevada frente a la arteriosclerosis) sigue sin estar clara.
Objetivo del estudio:
- Revisar las implicaciones de la hipertensión sistólica en los ancianos.
- Evaluar la tolerabilidad y los beneficios potenciales del tratamiento antihipertensivo en esta población.
Principales métodos:
- Revisión de la literatura existente sobre la hipertensión sistólica en los ancianos.
- Análisis de los resultados del tratamiento y la tolerabilidad del fármaco.
Principales resultados:
- Ningún ensayo controlado confirma la reducción de la morbilidad y la mortalidad con el tratamiento.
- La reducción de la presión arterial sistólica puede disminuir el diagnóstico de la hipertensión sistólica.
- Los pacientes ancianos generalmente toleran bien los medicamentos antihipertensivos con una administración cautelosa y de dosis bajas.
Conclusiones:
- La hipertensión sistólica en los ancianos merece atención debido a los riesgos asociados.
- El manejo farmacológico cauteloso es factible y puede ayudar a controlar la condición.
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