miércoles, 28 de noviembre de 2012

Mas de hipertensión en el anciano

Hipertensión en el anciano: algunas consideraciones prácticas


Hypertension in the elderly: Some practical considerations.
Chaudhry KN, Chavez P, Gasowski J, Grodzicki T, Messerli FH.
FACC, FACP, Columbia University College of Physicians and Surgeons, St. Luke's-Roosevelt Hospital, 425 West 59th Street, Suite 9C, New York, NY 10019-8022; messerli.f@gmail.com.
Cleve Clin J Med. 2012 Oct;79(10):694-704. doi: 10.3949/ccjm.79a.12017.
Abstract
Data from randomized controlled trials suggest that treating hypertension in the elderly, including octogenarians, may substantially reduce the risk of cardiovascular disease and death. However, treatment remains challenging because of comorbidities and aging-related changes. We present common case scenarios encountered while managing elderly patients with hypertension, including secondary hypertension, adverse effects of drugs, labile hypertension, orthostatic hypotension, and dementia.
http://www.ccjm.org/content/79/10/694.full.pdf+html


Hipertensión en el anciano: prevalencia y conducta: prevalencia y búsqueda del comportamiento de salud


Hypertension in the elderly: Prevalence and health seeking behavior.
Chinnakali P, Mohan B, Upadhyay RP, Singh AK, Srivastava R, Yadav K.
North Am J Med Sci [serial online] 2012 [cited 2012 Nov 9];4:558-62.

Background: Non-communicable diseases (NCDs) are major contributors of morbidity and mortality in the elderly. Estimating the prevalence of hypertension and studying the health seeking behavior is important. Aim: This study was designed to estimate the prevalence of hypertension and understand the health seeking behavior among the elderly in rural Puducherry, south India. Materials and Methods: A total of 211 elderly from a rural community were selected by systematic random sampling. Blood pressure (BP) was measured. Socio-demographic characteristics and health seeking behavior were assessed by interviews. Results: Prevalence of hypertension among study participants was 40.5%. Prevalence of hypertension among elderly male subjects was 39.2% and in female subjects was 40.8%. About 62% (53 out of 85 hypertensives) were already aware of their hypertensive status. About 54.7% (29) were diagnosed at government health facilities either at primary health centers (PHCs) or a government hospital. Conclusion: Burden of hypertension among the elderly is high in rural areas. Strategies to detect and treat hypertension in the elderly have to be implemented early.
Keywords: Community-based study, Elderly, Hypertension, Prevalence
http://www.najms.org/text.asp?2012/4/11/558/103314






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Anestesiología y Medicina del Dolor
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