Attention should be paid to elderly hypertensive
Over the age of 60 elderly people suffering from hypertension in elderly hypertensive said. At present the prevention and treatment of elderly hypertensive people should pay attention to the following types of bias to overcome.
① “diagnostic criteria for hypertension in the elderly than in young people is higher.” This is not correct. The elderly and young people in the Diagnosis of hypertension is the same. Any age over 18-year-old adult male and female, should be in accordance with systolic blood pressure ≥ 140 mm Hg or (and) ≥ 90 mm Hg diastolic diagnosis of hypertension as a standard. But elderly hypertensive often a special type, that is, systolic blood pressure significantly greater than 140 mm Hg, diastolic blood pressure was normal but that is less than 90 mm Hg. This hypertension please everyone should pay close attention to, not because of high systolic blood pressure and diastolic blood pressure normal to think that is not serious, this simply higher systolic blood pressure can lead to stroke, and other equally serious life-threatening complications and the same should be positive treatment. The World Health Organization (WHO) and the Union of hypertension all of this in order to raise sufficient awareness of hypertension specifically for such abnormal blood pressure has - names, called isolated systolic hypertension, also known as senile systolic hypertension.
② “elderly patients without treatment because their prognosis poor, as young people do not like.” The actual situation is not the case. Recent studies show that ,65-74-year-old age group blood pressure ≥ 160/90 mm Hg mortality of cardiovascular complications, blood pressure than eight times higher than normal, and isolated systolic hypertension and diastolic hypertension almost the same as the risk of .
③ “generally do not have elderly hypertensive treatment, but after treatment will be an important organ perfusion deficiency caused the harm.” This view is incorrect. Long-term hypertension patients suddenly over lower blood pressure, it can cause increased mortality, mainly with the major decline in cerebral blood flow. But as long as the proper relief to lower blood pressure slowly but steadily, not only enable the cerebral blood flow automatic adjustment mechanism has been gradually resumed, and myocardial oxygen consumption can be reduced, so that angina has been eased. Will not cause heavy organ perfusion deficiency hazards.
④ “older persons to the tolerance of antihypertensive drugs than young people.” This is a sheer bias. According to the United States a five-year observation reports indicate that: the age group of patients with hypertension and found that due to side effects of withdrawal are 60-69-year-old group only 24.8% minimum, 50 to 59 age group was 38%, 40-49-year-old Group 36.8% between 30-39-year-old group was 34%.
⑤ “elderly, as young people can not adhere to medication.” This bias is the reason why many elderly people have mental disorders, such as forgetful. But as proven by practice, the majority of elderly people of their health care inferior to young people. Surveys show that the 60-69 age group 80% of patients with hypertension to adhere to medication, and 50-59 years of age group 30-39 age group and only 75% can insist medication.
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