How can we improve the effectiveness of treatment in elderly hypertensives?

Barbara Gryglewska
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引用次数: 16

Abstract

Despite evidence for the benefits of treating hypertension in old age, only a small number of elderly patients have adequate blood pressure control. The reasons are complex and include a combination of factors related to physician, patient adherence to therapy and properties of the antihypertensive drugs. Substantial gaps have been documented between the development and dissemination of recommendations and their implementation in practice. Older patients are more likely to have difficulty with medication adherence. Better compliance achievement among the elderly patients should include a complex strategy. Moreover, physician information strategies must be improved.

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如何提高老年高血压的治疗效果?
尽管有证据表明治疗老年高血压是有益的,但只有少数老年患者的血压得到了适当的控制。原因很复杂,包括与医生、患者对治疗的依从性和抗高血压药物的特性有关的综合因素。在建议的制定和传播与实际执行之间存在着巨大的差距。老年患者更有可能在坚持服药方面遇到困难。老年患者更好的依从性应该包括一个复杂的策略。此外,医生信息策略必须改进。
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Post-registration studies for the evaluation of antihypertensive drugs. Effect of fixed dose combinations of metoprolol and amlodipine in essential hypertension: MARS--a randomized controlled trial. Efficacy and safety of valsartan in hypertensive Taiwanese patients: post-marketing surveillance study. Efficacy and safety of early versus late titration of fixed-dose irbesartan/hydrochlorothiazide: ACTUAL study. Clevidipine for severe hypertension in patients with renal dysfunction: a VELOCITY trial analysis.
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