Diagnosis and treatment of hypertensive crises in the elderly patients  

作　　者：Joseph Varon Neil E. Strickman 

机构地区：[1]University of Texas Health Science Center at Houston, Houston, Texas, USA [2]Peripheral Vascular Lab at HGCA, Peripheral Vascular Interventional Cardiology at Texas Heart Institute / St Lukes Episcopal Hospital, Houston, Texas, USA

出　　处：《Journal of Geriatric Cardiology》2007年第1期50-55,共6页老年心脏病学杂志（英文版）

摘　　要：Hypertension is a common clinical problem in the elderly worldwide and physicians of all types are likely to encounter patients with hypertensive urgencies and emergencies in these patients. Although various terms have been applied to these conditions, they are all characterized by acute elevations in blood pressure and evidence of end-organ injury. Prompt, but carefully considered therapy is necessary to limit morbidity and mortality. A wide range of pharmacologic alternatives are available to the practitioner to control blood pressure and treat complications in these patients. The management of the elderly patient with hypertensive crises needs to include close monitoring and a gentle decline in blood pressure to avoid catastrophic complications, exacerbation of ischemic myopathy, and vascular insufficiency.Hypertension is a common clinical problem in the elderly worldwide and physicians of all types are likely to encounter patients with hypertensive urgencies and emergencies in these patients. Although various terms have been applied to these conditions, they are all characterized by acute elevations in blood pressure and evidence of end-organ injury. Prompt, but carefully considered therapy is necessary to limit morbidity and mortality. A wide range of pharmacologic alternatives are available to the practitioner to control blood pressure and treat complications in these patients. The management of the elderly patient with hypertensive crises needs to include close monitoring and a gentle decline in blood pressure to avoid catastrophic complications, exacerbation of ischemic myopathy, and vascular insufficiency.

关 键 词：hypertension HYPERTENSIVE crises HYPERTENSIVE encephalopathy aortic dissection BETA-BLOCKER calcium channel blocker CLEVIDIPINE FENOLDOPAM nitroprusside LABETALOL NICARDIPINE elderly 

分 类 号：R544.1[医药卫生—心血管疾病]