老年人的高血压和正静性低血压:一个具有挑战性的平衡
Julia Wiersinga1,2, Sofie Jansen1, Mike J L Peters3
1Department of Internal Medicine, Section Geriatrics, Amsterdam UMC, Boelelaan 1117, Amsterdam, the Netherlands.
The Lancet regional health. Europe
|December 24, 2024
概括
管理高血压在老年人与正静性低血压 (OH) 是具有挑战性的,因为跌倒的风险. 本综述提供专家建议,以优化血压 (BP) 控制,同时最大限度地减少不良事件.
科学领域:
- 老年学是一门学科.
- 心血管医学 心血管医学
- 临床药理学 临床药理学
背景情况:
- 高血压和静止性低血压 (OH) 通常影响老年人,表明血压 (BP) 失调.
- 在高血压患者中,特别是脆弱的老年人中,由于跌倒风险,管理高血压是复杂的.
- 目前的指导方针对这一患者群体提供了有限的指导.
研究的目的:
- 审查同时存在的高血压和OH的病理生理学.
- 检查当前的指导方针和证据,以管理高血压患者的OH.
- 为临床实践提供有关脆弱老年人的专家建议.
主要方法:
- 病理生理学,现有指导方针和临床证据的文献综述.
- 对脆弱的老年人进行特定研究的分析.
- 制定基于专家意见的建议.
主要成果:
- 高血压和高血压与BP调节障碍相关的共同机制.
- 在这种人群中,低于最佳的高血压治疗是常见的,因为人们担心下降.
- 对于特定的管理策略存在有限的证据.
结论:
- 有效的管理需要在高血压和高血压的老年人中平衡血压控制与跌倒预防.
- 在没有强有力的临床指南的情况下,专家建议至关重要.
- 需要进一步的研究来指导最佳的治疗方法.
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