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Hypertension in the Elderly

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2. Should we have any doubts about hypertension therapy in elderly patients?: ACCF/AHA 2011 expert consensus document on hypertension in the elderly. (PubMed)

Should we have any doubts about hypertension therapy in elderly patients?: ACCF/AHA 2011 expert consensus document on hypertension in the elderly. Hypertension therapy in elderly patients still constitutes a considerable challenge. Its importance is also emphasized by the fact that, nowadays, many international organizations focus on the problem of an aging society (in 2030, life expectancy at birth in the European Union 27 is expected to rise to 85.3 years for women and 80.0 years for men (...) ). They discuss not only the optimal therapy in elderly patients, the problem of compliance and polypragmasy, but also the quality of life as well as the social, economic, and psychological challenges associated with this patient group. However, neither the available trials nor the European Society of Hypertension guidelines (2009) finally answered all important questions on hypertension management in elderly people. Thus, the first official recommendations on hypertension therapy in this patient group were

2017 Polskie Archiwum Medycyny Wewnetrznej

3. Fimasartan reduces clinic and home pulse pressure in elderly hypertensive patients: A K-MetS study. (PubMed)

Fimasartan reduces clinic and home pulse pressure in elderly hypertensive patients: A K-MetS study. Angiotensin II receptor blockers (ARBs) are recommended for treating patients with hypertension. However, comparative safety and efficacy of ARB use in elderly patients have not been well established. This study was designed to determine the efficacy of fimasartan, an ARB, in hypertensive elderly patients by measuring clinic and home blood pressures (BPs) and evaluating safety compared (...) to nonelderly patients.In the K-MetS study, a nationwide prospective observational study of hypertensive patients on fimasartan, elderly patients (60 years and older) who were treated for 1 year with fimasartan were recruited. BP was evaluated in clinic and at home.Of the 6 399 enrolled patients, 2 363 were elderly (46.9% males, mean age 67.3 ± 5.7 years). Fimasartan reduced systolic and diastolic BP (SBP and DBP) in clinic from 144.1 ± 17.3 to 127.7 ± 12.9 mmHg and from 85.1 ± 10.4 to 76.8 ± 8.4 mmHg

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2019 PLoS ONE

4. Prevalence of hypertension and hypertension control rates among elderly adults during the cold season in rural Northeast China: a cross-sectional study (PubMed)

Prevalence of hypertension and hypertension control rates among elderly adults during the cold season in rural Northeast China: a cross-sectional study Objective: The burden of noncommunicable diseases (NCDs) is increasing in China, together with economic development and social changes. The prevalence of risk factors for NCDs, such as overweight/obesity, hypertension, diabetes, and dyslipidemia, is reported to be high even among poor residents of rural areas. We aimed to investigate (...) the prevalence of hypertension among elderly adults in rural Northeast China and the proportion with controlled hypertension among those on antihypertensive medication (hypertension control rate). We also aimed to examine the association of hypertension control with health facilities that provide treatment. Methods: We conducted a community-based cross-sectional study in six rural villages of Northeast China from February to early March, 2012. We interviewed 1593 adults aged 50-69 years and measured

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2018 Journal of Rural Medicine : JRM

5. A New Approach for Hypertension: the Case of Sacubitril/Valsartan Experienced in Randomized Controlled Trials That Selectively Restrict Its Use to the Hypertension of the Elderly (PubMed)

A New Approach for Hypertension: the Case of Sacubitril/Valsartan Experienced in Randomized Controlled Trials That Selectively Restrict Its Use to the Hypertension of the Elderly 30344822 2018 11 14 1918-3003 10 11 2018 Nov Journal of clinical medicine research J Clin Med Res A New Approach for Hypertension: the Case of Sacubitril/Valsartan Experienced in Randomized Controlled Trials That Selectively Restrict Its Use to the Hypertension of the Elderly. 853-854 10.14740/jocmr3593w De Vecchis (...) 1918-3003 Renato De Vecchis, Carmelina Ariano and Silvia Soreca do not have any conflict of interest to declare. 2018 08 25 2018 09 11 2018 10 23 6 0 2018 10 23 6 0 2018 10 23 6 1 ppublish 30344822 10.14740/jocmr3593w PMC6188021 Eur Heart J. 2017 Nov 21;38(44):3308-3317 29029087 Br J Clin Pharmacol. 2016 May;81(5):878-90 26663387 Eur Heart J. 2017 Nov 21;38(44):3318-3320 29059286 J Cardiovasc Pharmacol. 2017 Jun;69(6):374-381 28338503 Hypertension. 2017 Mar;69(3):411-420 28093466 Am J Hypertens

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2018 Journal of clinical medicine research

6. Withholding Anti-Hypertensive Medication from Elderly Orthopedic Surgery Patients: Guidelines

Withholding Anti-Hypertensive Medication from Elderly Orthopedic Surgery Patients: Guidelines Withholding Anti-Hypertensive Medication from Elderly Orthopedic Surgery Patients: Guidelines | CADTH.ca Find the information you need Withholding Anti-Hypertensive Medication from Elderly Orthopedic Surgery Patients: Guidelines Withholding Anti-Hypertensive Medication from Elderly Orthopedic Surgery Patients: Guidelines Published on: November 2, 2015 Project Number: RA0814-000 Product Line: Research (...) Type: Drug Report Type: Reference List Result type: Report Question What are the evidence-based guidelines regarding criteria for withholding anti-hypertensive therapy for elderly (aged 65 years) orthopedic surgery patients? Key Message No relevant literature was identified regarding criteria for withholding anti-hypertensive therapy for elderly (aged 65 years) orthopedic surgery patients. Tags adrenergic beta-antagonists, antihypertensive agents, arthroplasty, fracture fixation, orthopedic

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

7. Left ventricular hypertrophy is a predictor of cardiovascular events in elderly hypertensive patients: Hypertension in the Very Elderly Trial. (PubMed)

Left ventricular hypertrophy is a predictor of cardiovascular events in elderly hypertensive patients: Hypertension in the Very Elderly Trial. We assessed the prognostic value of ECG left ventricular hypertrophy (LVH) using Sokolow-Lyon (SL-LVH), Cornell voltage (CV-LVH) or Cornell product (CP-LVH) criteria in 3043 hypertensive people aged 80 years and over enrolled in the Hypertension in the Very Elderly Trial.Multivariate Cox proportional hazard models were used to estimate hazard ratios (...) of cardiovascular disease and stroke. Only Cornell product was associated with an increased risk of heart failure. This was particularly the case in men. The identification of ECG LVH proved to be important in very elderly hypertensive people.

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2016 Journal of Hypertension

8. [Hypertension in the elderly]. (PubMed)

[Hypertension in the elderly]. After 80 years old, antihypertensive treatment significantly reduces cardiovascular events. In the elderly, blood pressure target depends on patients' frailty. After 80 years, French guidelines propose to aim a SBP<150 mmHg without orthostatic hypotension and without exceeding the prescription of more than three antihypertensive drugs. The target may be more ambitious for robust elderly patients. The new 2018 European guidelines set: a stricter target for robust (...) elderly patient aged 80 years or older (SBP between 130 and 139 mmHg and DBP between 70 and 79 mmHg); this objective is less strict for frail elderly (with several comorbidities, with loss of autonomy, elderly living in nursing home or with orthostatic hypotension). A recent randomized controlled trial shows a significant reduction in mortality and cardiovascular events by achieving a low blood pressure goal in patients over the age of 75 years old. Five major drug classes can be used: thiazide

2019 Presse medicale (Paris, France : 1983)

9. Internet Access and Hypertension Management Among the Elderly Population: A Nationally Representative Cross-Sectional Survey in China. (PubMed)

Internet Access and Hypertension Management Among the Elderly Population: A Nationally Representative Cross-Sectional Survey in China. Hypertension is a rapidly growing epidemic in China. Yet, it remains inadequately controlled, especially in rural areas. The internet has shown potential for better health management in different settings; however, few studies have investigated its role in hypertension management in China.This study aims to examine the association between internet access (...) and hypertension awareness, treatment, and control among elderly Chinese adults and to investigate whether the association between internet access and hypertension management differed between those living in urban and rural areas.We obtained data from the nationally representative survey of the China Health and Retirement Longitudinal Study in 2011. Hypertension was defined as (1) average systolic blood pressure of ≥140 mm Hg or average diastolic blood pressure of ≥90 mm Hg or (2) currently taking

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2019 Journal of medical Internet research

10. Unhealthy changes in eating habits cause acute onset hypertension in the normotensive community-dwelling elderly-3 years cohort study. (PubMed)

Unhealthy changes in eating habits cause acute onset hypertension in the normotensive community-dwelling elderly-3 years cohort study. The aim of this study was to determine what lifestyle changes can predict acute onset hypertension in the normotensive community-dwelling elderly.This study targeted elderly people enrolled in National Health Insurance in Fukushima Prefecture, Japan. The subjects were 24,490 people who took all of the specific health examination conducted by National Health (...) is a risk factor of new-onset hypertension in the normotensive community-dwelling elderly. Adequate health guidance to avoid unhealthy lifestyle changes is required even in normotensive people as this hypertension is preventable.

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2019 Medicine

11. Morning hypertension is more common in elderly hypertensive patients with controlled documented office blood pressure in primary care clinics: the Minhang study. (PubMed)

Morning hypertension is more common in elderly hypertensive patients with controlled documented office blood pressure in primary care clinics: the Minhang study. Increased morning blood pressure (BP) has been associated with fatal and nonfatal cardiovascular events, especially in Asians.To detect the control status of home BP, we performed a home BP monitoring study, including elderly patients with hypertension who had controlled documented office BP in Chinese primary care clinics. In 707 (...) (OR: 1.387; 95% CI: 1.059-1.817), whereas it was inversely associated with the use of long-acting antihypertensive drugs (OR: 0.588; 95% CI: 0.355-0.973). Compared with office BP, the home morning BP showed a more significant association with age and short-acting antihypertensive drugs.The prevalence of uncontrolled home BP is high in elderly Chinese hypertensive patients, especially in the morning, and home BP monitoring might be a feasible method for detecting it. The use of long-acting

2017 Journal of Hypertension

12. How to select the appropriate candidate of pulmonary arterial hypertension: specific therapy in elderly patients with pulmonary hypertension (PubMed)

How to select the appropriate candidate of pulmonary arterial hypertension: specific therapy in elderly patients with pulmonary hypertension 28270837 2018 11 13 1671-5411 14 1 2017 Jan Journal of geriatric cardiology : JGC J Geriatr Cardiol How to select the appropriate candidate of pulmonary arterial hypertension: specific therapy in elderly patients with pulmonary hypertension. 17-19 10.11909/j.issn.1671-5411.2017.01.004 Yaylali Yalin Tolga YT Department of Cardiology, Pamukkale University (...) , Denizli, Turkey. E-mail: yaylalimd@gmail.com. eng Journal Article China J Geriatr Cardiol 101237881 1671-5411 Pulmonary hypertension Pulmonary vasodilator therapy The elderly 2017 3 9 6 0 2017 3 9 6 0 2017 3 9 6 1 ppublish 28270837 10.11909/j.issn.1671-5411.2017.01.004 jgc-14-01-017 PMC5329728 J Am Coll Cardiol. 1998 Nov;32(5):1221-7 9809929 Am J Respir Crit Care Med. 2012 Oct 15;186(8):790-6 22798320 Chest. 2010 Feb;137(2):376-87 19837821 Circulation. 2009 May 26;119(20):2663-70 19433755 Am J Respir

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2017 Journal of geriatric cardiology : JGC

13. Hypertension Control, Apparent Treatment Resistance, and Outcomes in the Elderly Population With Chronic Kidney Disease (PubMed)

Hypertension Control, Apparent Treatment Resistance, and Outcomes in the Elderly Population With Chronic Kidney Disease Chronic kidney disease (CKD) is often associated with poor hypertension control and treatment resistance, but whether CKD modifies the effect of hypertension control on outcomes is unknown.We studied 10-year mortality and cardiovascular events according to hypertension control status and CKD (glomerular filtration rate <60 ml/min/1.73m2) in 4262 community-dwelling individuals (...) (40% men) more than 65 years of age.At baseline, 19% had CKD, and 31.2% had controlled hypertension on ≤3 antihypertensive drugs, 62.3% uncontrolled hypertension ≥140/90 mm Hg on ≤2 drugs, and 6.5% apparent treatment-resistant hypertension (aTRH) ≥140/90 mm Hg with ≥3 drugs or use of ≥4 drugs regardless of level. There were 1115 deaths (305 total cardiovascular deaths) and 274 incident nonfatal or fatal strokes or coronary events. Compared to the reference group (controlled hypertension and no CKD

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2016 Kidney international reports

14. Systematic review and meta-analysis: Blood pressure reduction in elderly patients with hypertension decreases risk of adverse cardiovascular outcomes

Systematic review and meta-analysis: Blood pressure reduction in elderly patients with hypertension decreases risk of adverse cardiovascular outcomes Blood pressure reduction in elderly patients with hypertension decreases risk of adverse cardiovascular outcomes | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see (...) our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Blood pressure reduction in elderly patients with hypertension decreases risk of adverse cardiovascular outcomes Article Text

2014 Evidence-Based Medicine (Requires free registration)

15. Diagnosis & Assessment of Hypertension - Endocrine Hypertension

Diagnosis & Assessment of Hypertension - Endocrine Hypertension VIII. Assessment For Endocrine Hypertension | Hypertension Canada Guidelines Subgroup Members: Ally P.H. Prebtani, MD; Gregory Kline, MD, Ernesto L. Schiffrin, MD PhD; Andrew Don-Wauchope, MD Central Review Committee: Stella S. Daskalopoulou, MD MSc DIC PhD (Chair); Kaberi Dasgupta, MD MSc; Kelly B. Zarnke, MD MSc; Kara Nerenberg, MD, MSc; Alexander A. Leung, MD MPH; Kevin C. Harris, MD MHSc; Kerry McBrien, MD MPH; Sonia Butalia (...) , BSc MD MSc; Meranda Nakhla, MD MSc Co-Chairs: Doreen M. Rabi, MD MSc, Stella S. Daskalopoulou, MD MSc DIC PhD This information is based on the Hypertension Canada guidelines published in Nerenberg, Kara A. et al. Hypertension Canada’s 2018 Guidelines for Diagnosis, Risk Assessment, Prevention, and Treatment of Hypertension in Adults and Children. . Guidelines Hyperaldosteronism: screening and diagnosis Screening for hyperaldosteronism should be considered in hypertensive patients

2018 Hypertension Canada

16. Prediction of 10-year Risk of Incident Heart Failure in Elderly Hypertensive Population: The ANBP2 Study. (PubMed)

Prediction of 10-year Risk of Incident Heart Failure in Elderly Hypertensive Population: The ANBP2 Study. Multivariable risk prediction models consisting of routinely collected measurements can facilitate early detection and slowing of disease progression through pharmacological and nonpharmacological risk factor modifications. This study aims to develop a multivariable risk prediction model for predicting 10-year risk of incident heart failure diagnosis in elderly hypertensive population.The (...) ). The goodness-of-fit test showed the model has good overall calibration (χ 2 = 1.78, P = 0.94).The risk equation, consisting of variables readily accessible in primary and community care settings, allows reliable prediction of 10-year incident heart failure in elderly hypertensive population. Its application for the prediction of heart failure needs to be studied in the community setting to determine its utility for improving patient management and disease prevention.© American Journal of Hypertension, Ltd

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2018 American journal of hypertension

17. Acute resistance exercise with blood flow restriction in elderly hypertensive women: haemodynamic, rating of perceived exertion and blood lactate. (PubMed)

Acute resistance exercise with blood flow restriction in elderly hypertensive women: haemodynamic, rating of perceived exertion and blood lactate. This study aimed to compare haemodynamic, rating of perceived exertion and blood lactate responses during resistance exercise with blood flow restriction (BFR) compared with traditional high-intensity resistance exercise in hypertensive older women.Eighteen hypertensive women (age = 67·0 ± 1·7 years.) undertook three random sessions: (i) three sets

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2018 Clinical physiology and functional imaging

18. Acute responses of hemodynamic and oxidative stress parameters to aerobic exercise with blood flow restriction in hypertensive elderly women. (PubMed)

Acute responses of hemodynamic and oxidative stress parameters to aerobic exercise with blood flow restriction in hypertensive elderly women. Systemic arterial hypertension has been associated with the majority deaths from cardiovascular disease, especially among the elderly population, and the imbalance between antioxidant and pro-oxidants has been associated with hypertension. This study analyzed the acute responses of cardiorespiratory and oxidative stress parameters to low intensity aerobic (...) exercise (LIAE) with blood flow restriction (BFR) in hypertensive elderly women. The experimental group consisted of 16 hypertensive women (67.2 ± 3.7 years) who underwent a progressive treadmill test and performed three exercise protocols in random order: high intensity (HIAE), low intensity aerobic exercise (LIAE) and low intensity aerobic exercise with blood flow restriction (LIAE + BFR). Data analysis showed that blood pressure and heart rate augmented from rest to post effort (p < 0.05

2018 Molecular biology reports

19. Resistance Exercise Training Is More Effective than Interval Aerobic Training in Reducing Blood Pressure During Sleep in Hypertensive Elderly Patients. (PubMed)

Resistance Exercise Training Is More Effective than Interval Aerobic Training in Reducing Blood Pressure During Sleep in Hypertensive Elderly Patients. Bertani, RF, Campos, GO, Perseguin, DM, Bonardi, JMT, Ferriolli, E, Moriguti, JC, and Lima, NKC. Resistance exercise training is more effective than interval aerobic training in reducing blood pressure during sleep in hypertensive elderly patients. J Strength Cond Res 32(7): 2085-2090, 2018-An appropriate fall in blood pressure (BP) during sleep (...) is known to be related to a lower cardiovascular risk. The objective of this study was to compare the effect of different types of training on hypertensive elderly patients under treatment in terms of pressure variability assessed by the nocturnal decline in BP. Hypertensive elderly subjects under pharmacological treatment were randomly assigned to the following groups: 12 weeks of continuous aerobic training, interval aerobic training (IA), resistance training (R), or control (C). All subjects

2018 Journal of Strength And Conditioning Research

20. Effect of Nigella sativa Seed Extract for Hypertension in Elderly: a Double-blind, Randomized Controlled Trial. (PubMed)

Effect of Nigella sativa Seed Extract for Hypertension in Elderly: a Double-blind, Randomized Controlled Trial. Nigella sativa (NS) seed extract shows diuretic activity, inhibits sympathetic nervous system overactivity and increases the production of Nitric Oxide in in vivo studies, thus it has a potential use as an adjuvant antihypertensive for elderly population. This study aimed to determine the effect of Nigella sativa seed extract to systolic blood pressure (SBP) and diastolic blood (...) pressure (DBP) of elderly patients with hypertension.a double-blind, randomized controlled trial was conducted on elderly subjects with hypertension in three outpatient clinics in Cipto Mangunkusumo National Hospital Jakarta Indonesia from June to September 2011. Subjects were divided into intervention group given 300 mg Nigella sativa seed extract twice daily for 28 days and into another group which was given placebo. Blood pressure were measured on day 1 and 28. Intention to treat analysis using

2018 Acta medica Indonesiana

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