Systolic hypertension: the challenge of our time* How to treat systolic hypertension: new insights from clinical trials
نویسندگان
چکیده
منابع مشابه
Recognition of systolic hypertension for hypertension.
Recently, much concern has been raised by the National High Blood Pressure Education Program (NHBPEP) about the need for a fresh focus on the recognition of hypertension and the need to revitalize hypertension control efforts. Clearly, there has been a relaxation in the intensity and vigor for the identification of new patients with hypertension, for the necessity to maintain antihypertensive t...
متن کاملIsolated 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...
متن کاملSystolic Hypertension in the Elderly
Isolated systolic hypertension (systolic blood pressure of 160 mm Hg or greater, diastolic blood pressure less than 90) was investigated in the Leisure World population at Seal Beach, California. The prevalence of this condition was 13.9% if the blood pressure at the initial examination was used but dropped to 2.7% if the subsequent two determinations of blood pressure were also reviewed. Seven...
متن کاملRisk and benefit of treatment of isolated systolic hypertension in the elderly: evidence from the Systolic Hypertension in Europe Trial.
The Syst-Eur trial investigated whether active treatment starting with the dihydropyridine calcium channel blocker (CCB) nitrendipine, could reduce the cardiovascular complications of isolated systolic hypertension (ISH) in the elderly. The intention-to-treat analysis showed that active treatment improved outcome. The per-protocol analysis largely confirmed these results. The effect of treatmen...
متن کاملNew issues in the treatment of isolated systolic hypertension.
Before commenting on the findings in this article, I will provide a bit of background. ISH is the most common form of hypertension in those older than 65 years.2 Because this segment of the population is expanding so rapidly, ISH will soon be the most prevalent form of hypertension. Over the last few years, a paradigm shift has occurred, away from the prior concern over an elevation of diastoli...
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ژورنال
عنوان ژورنال: American Journal of Hypertension
سال: 2002
ISSN: 0895-7061
DOI: 10.1016/s0895-7061(02)02912-6