When considering pharmacological intervention for hypertension , it is important to understand what the ‘normal’ blood pressure values are and how age may affect these values (Table1). Vascular resistance is known to increase with age, rising approximately 1% annually from the age of 40 years. difference of 10% is usually considered significant in hypertension management (Woodrow 2004).
Measuring blood pressure provides an easy and effective way to assess and monitor cardiovascular health (Woodrow2004), along with other lifestyle interventions factors such as weight, body mass index (BMI),lipid profile and physical activity (National Collaborating Centre for Chronic Conditions 2006).
Older people have been neglected in terms of hypertension assessment and management, possibly because evidence that the benefit of treating people age of 80 years is inconclusive (Beckett et al 2008). One study suggests that older people are often excluded from clinical research studiesbecause of the fear that frailty and co-morbid onditions may put them at increased risk as a result of the study’s intervention (Bugeja et al 1997 )
Treatment that lower blood pressure has been found to reduce the risk of cardiovascular complications in the older adult population (Pountney 2007). It has been asserted that adults oers the age of 80 years should be offered the same treatment for hypertension as younger people, and that older people receive worthwhile , benefits from treatment, particularly in terms of reduced risk of stroke (Beckett et al 2008).
While hypertension is often managed by pharmacological interventions, it is vital that patients are offered lifestyle advice. This should include maintenance of an ideal BMI (20-25); adietthat is rich in fruit and vegetables, includes a selection of less than 6g sodium daily; and physical aerobic activity, for example a brisk daily walk lasting 30 minutes, if able (Williams et al 2004).People who smoke should be given advice and support to stop. Lifestyle advice should be offered initially and then reinforced periodically. Blood pressure should be measured monthly or more frequently if the patient is severely hypertensive (National Collaborating Center for Conditions 2006).
When considering pharmacological intervention for hypertension , it is important to understand what the ‘normal’ blood pressure values are and how age may affect these values (Table1). Vascular resistance is known to increase with age, rising approximately 1% annually from the age of 40 years. difference of 10% is usually considered significant in hypertension management (Woodrow 2004). Measuring blood pressure provides an easy and effective way to assess and monitor cardiovascular health (Woodrow2004), along with other lifestyle interventions factors such as weight, body mass index (BMI),lipid profile and physical activity (National Collaborating Centre for Chronic Conditions 2006).Older people have been neglected in terms of hypertension assessment and management, possibly because evidence that the benefit of treating people age of 80 years is inconclusive (Beckett et al 2008). One study suggests that older people are often excluded from clinical research studiesbecause of the fear that frailty and co-morbid onditions may put them at increased risk as a result of the study’s intervention (Bugeja et al 1997 )Treatment that lower blood pressure has been found to reduce the risk of cardiovascular complications in the older adult population (Pountney 2007). It has been asserted that adults oers the age of 80 years should be offered the same treatment for hypertension as younger people, and that older people receive worthwhile , benefits from treatment, particularly in terms of reduced risk of stroke (Beckett et al 2008).While hypertension is often managed by pharmacological interventions, it is vital that patients are offered lifestyle advice. This should include maintenance of an ideal BMI (20-25); adietthat is rich in fruit and vegetables, includes a selection of less than 6g sodium daily; and physical aerobic activity, for example a brisk daily walk lasting 30 minutes, if able (Williams et al 2004).People who smoke should be given advice and support to stop. Lifestyle advice should be offered initially and then reinforced periodically. Blood pressure should be measured monthly or more frequently if the patient is severely hypertensive (National Collaborating Center for Conditions 2006).
การแปล กรุณารอสักครู่..