Isolated Systolic Hypertension: An Update After SPRINT
نویسندگان
چکیده
منابع مشابه
Isolated systolIc hypertensIon
Until the 1980’s the diastolic blood pressure (DBP) was assumed to be the most relevant hemodynamic parameter for prognosis of hypertensive patients. Elevated systolic pressure was considered as an inevitable consequence of aging and many physicians were reluctant to pay credence to the need for therapy of elevated systolic blood pressure. There was a radical change in thinking based on epidemi...
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Ewen et al. recently reported in the journal Hypertension that they investigated, for the first time, the effect of renal denervation on blood pressure in 63 patients with isolated systolic hypertension (Ewen et al., 2014). The authors concluded that renal denervation reduced office and ambulatory blood pressure in patients with isolated systolic hypertension (Ewen et al., 2014). However, this ...
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The Systolic Blood Pressure (SBP, mm Hg) Intervention Trial (SPRINT) showed that targeting SBP <120 mm Hg (intensive treatment, mean SBP: 121.5 mm Hg) versus <140 (standard treatment, mean SBP: 134.6 mm Hg) reduced cardiovascular events 25%. SPRINT has 2 implicit assumptions that could impact future US hypertension guidelines: (1) standard therapy controlled SBP similarly to that in adults with...
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Copyright © 2007 Massachusetts Medical Society. A 68-year-old accountant visits his physician. He was told a year earlier that his blood pressure was somewhat elevated and was advised to reduce salt intake and increase physical activity. Otherwise he has been in good health and has no history or signs of cardiovascular or renal disease. On physical examination, his blood pressure is 178/72 mm H...
متن کاملIsolated Systolic Hypertension in the Elderly.
Isolated systolic hypertension (ISH) is a very common condition in the elderly, even more than diastolic hypertension. Several studies indicate that ISH is a considerable cardiovascular risk factor in the elderly but the benefit of antihypertensive treatment has not been proved. Data in the literature on prevalence, pathophysiology, prognostic meaning and treatment of ISH are critically reviewed.
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ژورنال
عنوان ژورنال: The American Journal of Medicine
سال: 2016
ISSN: 0002-9343
DOI: 10.1016/j.amjmed.2016.08.032