随着年龄的增长,最佳血压的目标也随着年龄的增长而变化
1Division of Geriatrics, Spencer Fox Eccles School of Medicine, Center on Aging, University of Utah, 30 North Mario Capecchi Drive, 2nd Floor North, Salt Lake City, UT 84112, USA.
Clinics in geriatric medicine
|September 30, 2024
概括
建议在老年人中降低系统血压 (SBP) 至130毫米克以下,以促进心血管和认知健康. 对于一些高风险个体,可以考虑SBP目标为120 mm Hg.
科学领域:
- 老年学是指老年学的学科.
- 心脏病学 心脏病学
- 神经学 神经学
背景情况:
- 老年人 (≥65岁) 经常面临心血管疾病和认知障碍风险的增加.
- 抗高血压治疗需要量身定制的系统性血压 (SBP) 目标,以获得最佳的患者益处.
研究的目的:
- 在老年人中定义最佳静脉压 (SBP) 目标目标,用于抗高血压治疗.
- 为高风险老年人群指导基于益处的SBP目标的应用.
主要方法:
- 对老年人抗高血压治疗的当前指导方针和临床证据的审查.
- 对压缩性血压 (SBP) 的基于益处的治疗目标的分析.
主要成果:
- 对于大多数65岁及以上的成年人来说,压缩性血压 (SBP) 目标低于130毫米升是理想的.
- 一个更严格的SBP目标120 mm Hg可能适合选择高风险个体.
结论:
- 基于益处的系统性血压 (SBP) 目标对于老年人高血压的管理至关重要.
- 将SBP目标定制为个人风险概况,包括心血管和认知健康,最大限度地提高治疗效益.
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