Preview

Кардиоваскулярная терапия и профилактика

Расширенный поиск

Артериальная гипертензия у лиц пожилого возраста старше 60 лет

Полный текст:

Аннотация

В статье рассматриваются особенности артериальной гипертензии у пациентов старшей возрастной группы. Проанализированы результаты 14 крупных, проспективных, рандомизированных, клинических исследований за последние 20 лет, посвященных эффективности антигипертензивной терапии у лиц пожилого возраста старше 60 лет.

Об авторах

П. Х. Джанашия
Российский государственный медицинский университет
Россия

Заведующий кафедрой терапии ФУВ.

Москва.

Тел.: 8 499-744-24-92



Н. Г. Потешкина
Российский государственный медицинский университет
Россия

Профессор кафедры.

Москва.



Список литературы

1. Суслина З.А., Гераскина ЛА., Фонякин А.В. Особенности антигипертензивной терапии при цереброваскулярных заболеваниях. Клин фармак тер 2002; 11: 1—5.

2. Котовская Ю.В., Кобалава Ж.Д. Особенности артериальной гипертонии в старческом возрасте. Cons Med 2004; 12: 888—93.

3. Шальнова С, А, Деев А Д., Оганов Р. Г., Шестов Д. Б. Роль систолического и диастолического артериального давления для прогноза смертности от сердечно-сосудистых заболеваний. Кардиоваск тер профил 2002; 1: 10—5.

4. Шальнова С.А., Деев А.Д., Вяхирева О.В. и др. Распространенность артериальной гипертонии в России. Информированность, лечение, контроль Профил забол укреп здор 2001; 2: 3—7.

5. Arneiy A, Birkenhager W, Brixko Р, et al. Mortality and morbidity results from tire European Working Rirty on High Blood Pressure in tire Elderly trial. Lancet 1985; 1: 1349-54.

6. Beckett NS, Peters R, Fletcher AE, et al. Treatment of hypertension in patients 80 years cf age and older. N Engl J Med 2008; 358: 1887-98.

7. Benetos A, Rudnichi A, Safar M, et al. Pulse Pressure and Cardiovascular Mortality in Normotensive and Hypertensive Subjects. Hypertension 1998; 32: 560-4.

8. Benetos A, Thomas F, Bean K, et al Prognostic Value of Systolic and Diastolic Blood Pressure in Treated Hypertensive Men Arch Intern Med 2002; 162: 577-81.

9. Boutouyrie P, Tropeano Al, Asmar R, et al. Aortic stiffness is an independent predictor of primary coronary events in hypertensive patients: a longitudinal study. Hypertension 2002; 39(1): 10-5.

10. Broda G. Isolated Systolic Hypertension Is a Strong Predictor of Cardiovascular and All-Cause Mortality in tin Middle-Aged Population Warsaw Pol-MONICA Follow up Project. J Clin Hypertens 2000; 2(5): 305—11.

11. Casiglia E, Spolaore P, Mazza A, et al Effect of two different therapeutic approaches on total and cardiovascular mortality in a Cardiovascular Stady in tire Olderly (CASTEL). Jpn Heart J 1994; 35: 589-600.

12. Coope J, Warrender TS. Randomised trial of treatment of hypertension in tire Elderly patients in primary care. Br Med J (Gin Res Ed) 1986; 293: 1145-51.

13. Dahlof B, Iindliolm LH, Hansson L, et al. Morbidity and mortality in tire Swedish Trial in Old Patients with Hypertension (STOP- Hypertension). Lancet 1991; 338: 1281-5.

14. 2003 European Society of Hypertension — European Society of Cardiology guidelines for tire management of arterial hypertension J Hypertens 2003; 21: 1011-53.

15. Fagard RH. Epidemiology of hypertension in tire elderly. Am J Geriatr Cardiol 2002; 11: 24- 7.

16. Franklin SS, Gustiir W4th, Wong ND, et al Hemoyiiramic patterns of age-related changes in blood pressure. The Framingham Heart Study. Circulation 1997; 96: 308—15.

17. Franklin SS. Cardiovascular risks related to increased diastolic, systolic and pulse pressure. Ar epidemiologist’s point of view. Pathol Biol (Paris) 1999; 47(6): 594-603.

18. Gong L, Zhang W, Zhy Y, et al Shanghai trial of nifedipine in tire elderly (STONE). J Hypertens 1996; 14: 1237-45.

19. Hansson L, Iindliolm LH, Ekbom T, et al Randomized trial of old and new antihypertensive drugs in elderly patients: cardiovascular mortality and morbidity tire Swedish Trial in Old Patients with Hypertension-2 study. Lancet 1999; 354: 1751-6.

20. Hollander M, Hak AE, Koudstaal PJ, et al. Comparison between measures of atherosclerosis and risk of stroke: tire Rotterdam Study. Stroke 2003; 34(10): 2367-72.

21. Joseph L, Izzo JL Jr. Aging arterial stiffness and systolic hypertension Hypertensionin tire elderly. Edited by L Michael Prisant. Himi Press Inc 2005; 3: 23-34.

22. Kendall MJ. Treatment of hypertension in older adults Br Med J 1992; 304: 639.

23. Laurent S, Boutouyrie P, Asmar R, et al. Aortic stiffness is air independent predictor of all-cause and cardiovascular mortality in hypertensive patients Hypertension 2001; 37(5): 1236—41.

24. Lament S, Katsahian S, Eassot C, et al Aortic stiffness is an independent predictor of fatal stroke in essential hypertension Stroke 2003; 34(5): 1203-6.

25. Lithell H, Hansson L, Skoog I, et al., for the SCOPE Study Group. The Study on Cognition and Prognosis in the Elderly (SCOPE): principal results of a randomized double—blind intervention trial J Hypertens 2003; 21: 875-86.

26. Liu L, Wang JG, Gong L, et al. Comparison of active treatment and placebo in older Chinese patients with isolated systolic hypertension Systolic Hypertension in China (Syst-China) Collaborative Group. J Hypertens 1998; 16: 1823-9.

27. Makita S, Oliira A, Naganuma Y, et al Increased carotid artery stiffness without atherosclerotic change in patients with aortic dissection. Argiology 2006; 57(4): 478—86.

28. Mulrow CD, Cornell JA, Herrera CR, et al Hypertension in elderly. Implications and generalizability of randomized trials. JAMA 1994; 272: 1932-8.

29. Malacco E, Manica G, Rappelli A, et al. Treatment of isolated systolic hypertension tire SHELL study results. Blood Press 2003; 12: 160-7.

30. Messerli E Изолированная систолическая гипертензия. Международные направления в исследовании артериальной гипертензии. Выпуск 2000; 11: 4—6.

31. Medical Research Council trial of treatment of hypertension in older adults: principal results MRC Working Party. Br Med J 1992; 304: 405-12.

32. Prince MJ, Bird AS, Blizard RA, et al Is tire cognitive function cf older patients affected by antihypertensive treatment? Results from 54 month of tire Medical Research Council's trial ofhupertension in older adults BMJ 1996; 313(7050): 166-7.

33. Pristant LM, Carr AA Overview of tire European Working Party on High Blood Pressure in tire Elderly. Geriatr Med Today 1990; 9: 35-8.

34. Prevention of stroke by antihypertensive drug treatment in older persons with isolated systolic hypertension Final results of tire Systolic Hypertension in Elderly Program (SHEP). SHEP Cooperative Research Croup. JAMA 1991; 265: 3255-64.

35. SHEP Cooperative Research Group. Prevention of heart failure by antihypertensive drug treatment in older persons with isolated systolic hypertension JAMA 1997; 278: 212-6.

36. Staessen J, Amery A, Eagard R. Isolated systolic hypertension in tire elderly. J Hypertens 1990; 8: 393-405.

37. Staessen JA, Fagard R, Thijs L, et al Randomised double-blind comparison of placebo and active treatment for older patients with isolated systolic hypertension The systolic hypertension in Europe (Syst-Eur) Trial Investigators. Lancet 1997; 350: 757—64.

38. Sutton-Tyrrell K, Najjar SS, Boudreau RM, et al. Elevated aortic pulse wave velocity, a marker of arterial stiffness, predicts cardiovascular events in well-fimctionirrg older adults. Circulation 2005;111(25): 3384-90.

39. Tsivgoulis G, Venmios K, Papamichael C, et al Common carotid arterial stiffness and tire risk of ischaemic stroke. Du J Neurol 2006; 13(5): 475-81.

40. Yisair RS, Beiser A, Seshadri S, et al Residual lifetime risk for developing hypertension in middle-aged women and men The Framingham Heart Study. JAMA 2002; 287(8): 1003—10.

41. Wirg LMH, Reid CM, Ryan P, et al A comparison of outcomes wish airgiotensiir-convertiirg-enzime ihibitorsfor hypertension in tire elderly. N Engl J Med 2003; 348: 583-92.

42. WrUum Hansen T, Staessen JA, Torp-Pedersen C, et al Prognostic value of aortic pulse wave velocity as index of arterial stiffness in tire general population Circulation 2006; 113( 5): 664—70.

43. Wolf-Maier K, Cooper RS, Kramer H, et al Hypertension treatment and control in five European countries, Canada, and tire United States. Hypertension 2004; 43: 10-7.


Для цитирования:


Джанашия П.Х., Потешкина Н.Г. Артериальная гипертензия у лиц пожилого возраста старше 60 лет. Кардиоваскулярная терапия и профилактика. 2009;8(2):95-101.

For citation:


Dzhanashiya P.K., Poteshkina N.G. Arterial hypertension in elderly patients aged over 60 years. Cardiovascular Therapy and Prevention. 2009;8(2):95-101. (In Russ.)

Просмотров: 127


Creative Commons License
Контент доступен под лицензией Creative Commons Attribution 4.0 License.


ISSN 1728-8800 (Print)
ISSN 2619-0125 (Online)