Clinical characteristic _ prevention and health care of the elderly's essential hypertension

Clinical characteristic _ prevention and health care of the elderly's essential hypertension
1.Blood pressure fluctuation is large, body posture hypotension incident
Set up location systolic pressure in the location lower gt than lie; 20 mm Hg, the average arterial pressure reduces above 10, stepping down in the initial stage treating should often measure and set up blood pressure in the location.
2.False hypertension
Examine, press, can over-evaluate the intersection of blood pressure and the intersection of value and the elderly stiff in shape arteria brachialis have, indirectly, examine, press the intersection of law and gasbag, pigeonhole arteria brachialis indirectly, make, measure reading of blood pressure to be too high, produce false hypertension, need to examine and press directly.
3. There is much hypertension simple systolic phase
The diagnostic standard of WHO international hypertension association in 1993: Simple systolic phase hypertension (ISH) ,Mean SBP is greater than or equal to 140mmHg and DBPlt; 90mmHg but 90% of the ISH among them is the elderly over 60, so also called old systolic phase hypertension (SHE) . More than half the elderly simple the intersection of systolic phase and hypertension, take place coronary heart disease, the intersection of brain and soldier neutralize danger of nephropathy most loud in hypertension with simple systolic phase latter stage such as end, secondly it is pairs of hypertension, then a hypertension patient of simple relaxation.
4.The difference of pulse pressure is relatively great
The bigger the difference of pulse pressure is, perhaps the intensity of arteriosclerosis is the more serious. The expert of European hypertension association points out, pulse pressure and stiff degree of increase of artery can be regarded as than advanced age hypertension crowd's cardiovascular disease, especially the dangerous prediction factor of myocardium infarction.
The result of study shows every increase 10mmHg of the pulse pressure, the total death is dangerous to increase by 16%, the apoplexy of brain is dangerous to increase by 11%.
5. There are many and serious complications
Old hypertension organ damaged chance large in long target in course of disease, many kinds of dangerous factors and target organs are damaged, it is apt to erupt the brain soldier simultaneously to neutralize the heart accident, simple systolic phase hypertension is seen more. With the constant increase of age, systolic pressure increases, the pulse pressure increases the wide patient and hits the diastolic pressure (DBP) It is big to be the lower and dangerouser,
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