老年人血压升高的缓慢的绘制-ED管理
Kianna Eurick-Bering1, Brett Todd1,2, Lauren Cameron-Comasco3,4
1Department of Emergency Medicine, William Beaumont University Hospital, 3601 W. 13 Mile Rd, Royal Oak, MI, 48073, USA.
Current hypertension reports
|November 21, 2023
概括
在老年人中管理高血压需要仔细考虑. 急性血压降低可能会造成伤害;对于那些没有末端器官损伤的人来说,门诊治疗通常是首选的.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
背景情况:
- 老年人血压升高在紧急情况下存在独特的管理挑战.
- 高血压紧急情况和明显升高的血压需要不同的治疗策略.
研究的目的:
- 审查当前关于急诊室管理老年人血压升高的数据.
- 讨论高血压危机的细微差别和在这个人群中显著升高血压的门诊治疗.
主要方法:
- 对有关急诊室管理老年人高血压的研究的文献综述.
- 对急性血压降低与门诊治疗策略的数据分析.
主要成果:
- 在没有末端器官损伤的老年人中,急性血压降低可能导致并发症,并且在住院,复诊或死亡率方面没有好处.
- 患有血压升高但无末端器官损伤的老年人应在门诊治疗.
- 高血压紧急治疗应遵循标准指导方针,并纳入与年龄相关的生理考虑.
结论:
- 紧急医生必须仔细衡量老年人急性血压降低的风险,考虑到潜在的伤害和增加的副作用风险.
- 在进行急性治疗时,建议避免使用特定药物,如短效尼菲迪平和克隆尼丁 (根据Beers列表标准).
- 在老年人呈现高血压读数而没有末端器官损伤迹象的情况下,对门诊血压管理的转诊至关重要.
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