ARTERIAL'NAYa GIPERTENZIYa U POZhILYKh LYuDEY


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Abstract

Clinical strategies for elderly patients with arterial hypertension should be determined taking into account the presence of asthenic syndrome (senile asthenia). Features of the aging of the cardiovascular system, the relationship of hypertension with the development of asthenia and other geriatric syndromes define the loyal requirements for the target blood pressure levels and dictate stringent conditions of the choice of antihypertensive therapy, limiting the maximum number of drugs.

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  1. Franklin S.S., Pio J.R., Wong N.D., Larson M.G., Leip E.P., Vasan R.S., Levy D. Predictors of new-onset diastolic and systolic hypertension: the Framingham Heart Study Circulation. 2005; 111: 1121-27.
  2. Burt V.L., Whelton P., Roccella E.J., Brown C., Cutler J.A, Higgins M., Horan M.J., Labarthe D. Prevalence of hypertension in the US adult population. Results from the Third National Health and Nutrition Examination Survey, 1988-1991. Hypertension. 1995; 25: 305-13.
  3. van Varik B.J., Rennenberg R.J., Reutelingsperger C.P, Kroon A.A., de Leeuw P.W., Schurgers L.J. Mechanisms of arterial remodeling: lessons from genetic diseases. Front Genet. 2012; 3: 290.
  4. Franklin.S.S. Elderly hypertensives: how are they different? J. Clin. Hypertens. Greenwich. 2012; 14: 779-86.
  5. Poortvliet R.K., de Ruijter W., de Craen A.J., Mooijaart S.P., Westendorp R.G., Assendelft W.J., Gussekloo J., Blom J.W. Blood pressure trends and mortality: the Leiden 85-plus Study. J. Hypertens. 2013; 31: 63-70.
  6. Odden M.C., Peralta C.A., Haan M.N., Covinsky K.E. Rethinking the association of high blood pressure with mortality in elderly adults: the impact of frailty. Arch. Intern. Med. 2012; 172: 1162-68.
  7. Kannel W.B., Wolf P.A., McGee D.L., Dawber T.R., McNamara P., Castelli W.P. Systolic blood pressure arterial rigidity risk of stroke. The Framingham study. JAMA. 1981; 245: 1225-29.
  8. Vishram J.K., Borglykke A., Andreasen A.H., Jeppesen J., Ibsen H., Jоrgensen T., Broda G., Palmieri L., Giampaoli S., Donfrancesco C., Kee F., Mancia G., Cesana G., Kuulasmaa K., Sans S., Olsen M.H., on behalf of the MORGAM Project. Impact of Age on the Importance of Systolic and Diastolic Blood Pressures for Stroke Risk: The MOnica, Risk, Genetics, Archiving and Monograph (MORGAM) Project. Hypertension. 2012; 60: 1117-23.
  9. Benetos A., Safar M., Rudnichi A., Smulyan H., Richard J.L., Ducimetieеre P., Guize L. Pulse pressure: a predictor of long-term cardiovascular mortality in a French male population. Hypertension. 1997; 30: 1410-15.
  10. Vlachopoulos C., Aznaouridis K., Stefanadis C. Prediction of Cardiovascular Events and All-Cause Mortality With Arterial Stiffness: A Systematic Review and Meta-Analysis. J. Am. Coll. Cardiol. 2010; 55(13): 1318-27.
  11. Fedorowski A., Stavenow L., Hedblad B., Berglund G., Nilsson P.M., Melander O. Orthostatic hypotension predicts all-cause mortality and coronary events in middle-aged individuals (The Malmo Preventive Project). Eur. Heart. J. 2010; 31: 85-91.
  12. Fagard R.H., De Cort P. Orthostatic hypotension is a more robust predictor of cardiovascular events than night-time reverse dipping in elderly. Hypertension. 2010; 56: 56-61.
  13. Qiu C., Winblad B., Fratiglioni L. The age-dependent relation of blood pressure to cognitive function and dementia. Lancet Neurol. 2005; 4: 487-99.
  14. Sabayan B., Oleksik A.M., Maier A.B., van Buchem M.A., Poortvliet R.K., de Ruijter W., Gussekloo J., de Craen A.J., Westendorp R.G. High blood pressure and resilience to physical and cognitive decline in the oldest old: the Leiden 85-plus Study. J. Am. Geriatr. Soc. 2012; 60: 2014-19.
  15. Taekema D.G., Maier A.B., Westendorp R.G., de Craen A.J. Higher blood pressure is associated with higher handgrip strength in the oldest old. Am. J. Hypertens. 2011; 24: 83-9.
  16. Longstreth W.T. Jr., Manolio T.A., Arnold A., Burke G.L., Bryan N., Jungreis C.A., Enright P.L., O'Leary D., Fried L. Clinical correlates of white matter findings on cranial magnetic resonance imaging of 3301 elderly people. The Cardiovascular Health Study. Stroke. 1996; 27: 1274-82.
  17. Skoog I., Lernfelt B, Landahl S., Palmertz B., Andreasson L.A., Nilsson L., Persson G., Odеn A., Svanborg A. 15-year longitudinal study of blood pressure and dementia. Lancet. 1996; 347: 1141-5.
  18. Diehr P., Williamson J., Burke G.L., Psaty B.M. The aging and dying processes and the health of older adults. J. Clin. Epidemiol. 2002; 55: 269-78.
  19. Benvenuto L.J., Krakoff L.R. Morbidity and mortality of orthostatic hypotension: implications for management of cardiovascular disease. Am. J. Hypertens. 2011; 24(2): 135-44.]
  20. Shen S., He T., Chu J., He J., Chen X. Uncontrolled hypertension and orthostatic hypotension in relation to standing balance in elderly hypertensive patients. Clin. Interv. Aging. 2015; 10: 897-99.
  21. Gangavati A., Hajjar I., Quach L., Jones R.N., Kiely D.K., Gagnon P., Lipsitz L.A. Hypertension, Orthostatic Hypotension, and the Risk of Falls in a Community-Dwelling Elderly Population: The Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly of Boston Study. J. Am. Geriatr. Soc. 2011; 59(3): 383-89.
  22. Bejan-Angoulvant T., Saadatian-Elahi M., Wright J.M., Schron E.B., Lindholm L.H., Fagard R., Staessen J.A., Gueyffier F. Treatment of hypertension in patients 80 years and older: the lower the better? A meta-analysis of randomized controlled trials. J. Hypertens. 2010; 28: 1366-72.
  23. Zanchetti A., Grassi G., Mancia G. When should antihypertensive drug treatment be initiated and to what levels should systolic blood pressure be lowered? A critical re-appraisal. J. Hypertens. 2009; 27: 923-34.
  24. JATOS Study Group. Principal results of the Japanese trial to assess optimal systolic blood pressure in elderly hypertensive patients (JATOS). Hypertens. Res. 2008; 31: 2115-27.
  25. Ogihara T., Saruta T., Rakugi H., Matsuoka H., Shimamoto K., Shimada K., Imai Y., Kikuchi K., Ito S., Eto T., Kimura G., Imaizumi T., Takishita S., Ueshima H. Target blood pressure for treatment of isolated systolic hypertension in the elderly: Valsartan in Elderly Isolated Systolic Hypertension Study. Hypertension. 2010; 56: 196-202.
  26. Beckett N.S., Peters R., Fletcher A.E., Staessen J.A., Liu L., Dumitrascu D., Stoyanovsky V., Antikainen R.L., Nikitin Y., Anderson C., Belhani A., Forette F., Rajkumar C., Thijs L., Banya W., Bulpitt C.J. Treatment of hypertension in patients 80 years of age or older. N. Engl. J. Med. 2008; 358: 1887-98.
  27. Peters R., Beckett N., Forette F., Tuomilehto J., Clarke R., Ritchie C., Waldman A., Walton I., Poulter R., Ma S., Comsa M., Burch L., Fletcher A., Bulpitt C. HYVET Investigators. Incident dementia and blood pressure lowering in the Hypertension in the Very Elderly Trial cognitive function assessment (HYVET-COG): a doubleblind, placebo controlled trial. Lancet Neurol. 2008; 7: 683-89.

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