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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. Low-frequency and low-intensity ultrasound increases cardiac parasympathetic neural activity and decreases clinic hypertension in elderly hypertensive subjects with type 2 diabetes (PubMed)

Low-frequency and low-intensity ultrasound increases cardiac parasympathetic neural activity and decreases clinic hypertension in elderly hypertensive subjects with type 2 diabetes The aims of the present study were to determine the effects of an ultrasound irradiation on clinic hypertension and the heart rate variability in elderly hypertensive subjects with type 2 diabetes.We examined the effects of ultrasound (800 kHz, 25 mW/cm2) applied to the forearm for 10 min on the autonomic nerve (...) the differences between SBP at home and at a clinic visit in elderly hypertensive subjects with type 2 diabetes.

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2018 International journal of cardiology. Heart & vasculature Controlled trial quality: uncertain

7. 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

8. 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

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. Associations of blood pressure categories according to the 2017 American College of Cardiology/American Heart Association hypertension guideline and long-term blood pressure change with incident cardiovascular disease in middle-aged and elderly Chinese: t (PubMed)

Associations of blood pressure categories according to the 2017 American College of Cardiology/American Heart Association hypertension guideline and long-term blood pressure change with incident cardiovascular disease in middle-aged and elderly Chinese: t To assess the associations of newly defined blood pressure (BP) categories by the 2017 American College of Cardiology/American Heart Association guideline and changes in BP with the risk of cardiovascular disease (CVD) among the middle-aged (...) and older Chinese.Among 29 086 participants aged 61.6 years from the Dongfeng-Tongji (DFTJ) cohort, we estimated the hazard ratio for CVD using Cox proportional hazard models.As BP increased, we found a significant trend for greater risk of incident CVD, coronary heart disease (CHD) or stroke. Compared with the BP <120/<80 mmHg, those having stage 1 hypertension (BP of 130-139/80-89 mmHg) had an increased risk of CVD [hazard ratio of 1.29 (1.18-1.42)], CHD [hazard ratio of 1.27 (1.15-1.41)] and stroke

2019 Journal of Hypertension

12. Association between body composition and inflammation: A central role of IL-17 and IL-10 in diabetic and hypertensive elderly women. (PubMed)

Association between body composition and inflammation: A central role of IL-17 and IL-10 in diabetic and hypertensive elderly women. In women, aging is evidenced by physiological hormonal alterations that trigger changes in body composition, emergence of chronic low-grade inflammation, which is an important pre-disposition to the development of chronic diseases such as Systemic Arterial Hypertension (SAH) and Type 2 Diabetes Mellitus (T2DM). Although it is a strong pro-inflammatory nature (...) disorder, little is known about how body composition interferes with inflammatory markers in diabetic and hypertensive elderly women. Therefore, this study's objective was to evaluate the inflammation in diabetic and hypertensive elderly women, and their association with fat mass. It comprised the evaluation of 144 women aged between 60 and 80 years old, diagnosed with SAH and T2DM, assisted by Family Health Units in Vitória da Conquista, Bahia, Brazil. According to body mass index (BMI), these women

2019 Experimental Gerontology

13. The "Hypertension Approaches in the Elderly: a Lifestyle study" multicenter, randomized trial (HAEL Study): rationale and methodological protocol. (PubMed)

The "Hypertension Approaches in the Elderly: a Lifestyle study" multicenter, randomized trial (HAEL Study): rationale and methodological protocol. Hypertension is a clinical condition highly prevalent in the elderly, imposing great risks to cardiovascular diseases and loss of quality of life. Current guidelines emphasize the importance of nonpharmacological strategies as a first-line approach to lower blood pressure. Exercise is an efficient lifestyle tool that can benefit a myriad of health

2019 BMC Public Health Controlled trial quality: uncertain

14. Blood pressure variability with different measurement methods: Reliability and predictors. A proof of concept cross sectional study in elderly hypertensive hospitalized patients. (PubMed)

Blood pressure variability with different measurement methods: Reliability and predictors. A proof of concept cross sectional study in elderly hypertensive hospitalized patients. Blood pressure variability (BPV) is an independent cardiovascular risk factor in hypertensive patients. The best method for quantifying BPV is still an object of debate. The existence of different BPV patterns, particularly age and arterial stiffness related, is postulated. Our aims were:Cross-sectional study in 108 (...) elderly hypertensive hospitalized patients. Each patient underwent blood pressure measurements with 5 different modalities: 24 hour BP and pulse wave velocity (PWV) monitoring (24hBPM), measurement by nurses or physicians, self-measurement and beat-to-beat monitoring. Differences between maximum and minimum values (ΔBP), averages of the absolute differences between consecutive values (ARV) and coefficients of variation (CV) were calculated.ΔBP showed the wider values' dispersion (Δ systolic blood

2019 Medicine

15. Relationship between circulating microparticles and hypertension and other cardiac disease biomarkers in the elderly. (PubMed)

Relationship between circulating microparticles and hypertension and other cardiac disease biomarkers in the elderly. Microparticles are procoagulant membrane vesicles that play role in endothelium dysfunction pathogenesis and are increased in hypertension, acute/chronic vascular pathological events. Here; we aimed to compare MPs levels of hypertensive geriatric patients with healthy age-match-patients, discuss its availability as a cardiovascular biomarker and investigate its relationship (...) and function of MPs.No significant difference was found between 2 groups for MPS tests (MPS Lag time, MPS ETP, MPs Peak, MPS start Tail). Platelet count was significantly higher in hypertensive patient group. There was a negative correlation between age and MPs Peak, MPS Lag time. There was a positive correlation between CRP and MPS ETP, MPs Peak values.Our present findings might help to understand the hemostasis via TGT parameters, in the elderly. Contribution of MPs to thrombosis tendency seen with aging

2019 BMC Cardiovascular Disorders

16. [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)

17. 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

18. 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

19. 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

20. 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)

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