en
Scientific article
French

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

Published inRevue médicale suisse, vol. 11, no. 485, p. 1638-1644
Publication date2015
Abstract

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.

Keywords
  • 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
Citation (ISO format)
FERRER SOLER, Charlotte, EHRET, Georg Benedikt, PECHERE, Antoinette. Dépistage et prise en charge de l’hypertension artérielle chez la personne âgée. In: Revue médicale suisse, 2015, vol. 11, n° 485, p. 1638–1644.
Main files (1)
Article (Accepted version)
accessLevelRestricted
Identifiers
ISSN of the journal1660-9379
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