Dépistage et prise en charge de l'hypertension artérielle chez la personne âgée

Article Article scientifique Article Dépistage et prise en charge de l'hypertension artérielle chez la personne âgée fre 2015 author Ferrer Soler Charlotte 660810 author Ehret Georg Benedikt 98462 author Pechere Antoinette 120582 1638-1644 26540992 1660-9379 The prevalence of hypertension in elderly is extremely high. Because of the burden of ageing of population, this condition considered as the most important risk factor for mortality is supposed to increase. There are some specific pitfalls in the diagnosis and management of hypertension in elderly. The definition of hypertension is the same in all age groups, however the phenotype is different in the elderly: white coat effect, non-dipping pattern, orthostatic hypotension, dysautonomia and pseudohypertension. The hallmark of hypertension in the elderly is pure systolic hypertension and an increased variability of blood pressure. The diagnosis is often difficult to establish. The elderly can be overtreated with undesirable effects of falls or hypoperfusion, particularly when there is frailty, or polymedication. Aged Aged, 80 and over Aging Antihypertensive Agents/therapeutic use Blood Pressure Blood Pressure Determination/methods Diet Therapy Humans Hypertension/diagnosis/mortality/physiopathology/therapy Hypotension, Orthostatic/diagnosis/therapy Life Style Mass Screening Practice Guidelines as Topic Prevalence Risk Factors Switzerland/epidemiology Treatment Outcome White Coat Hypertension/diagnosis/therapy Dewey 616 56 Département de médecine 221 false 99 Hypertension artérielle 128 560 Génétique 901 Revue médicale suisse 11 485 bc8901fc-74f3-4d4a-978c-5f6bfcf7d148 Article (Accepted version) Restricted RMS_485_1638.pdf 523646 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de médecine

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Dépistage et prise en charge de l'hypertension artérielle chez la personne âgée	Revue médicale suisse			2015	529	1

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Ferrer Soler, Charlotte