[Hypertensive blood pressure in elderly patients in emergency care].
1143 records have been analysed in order to evaluate specific age-dependent problems of arterial hypertension in outpatients, asking for emergency treatment. 33 percent of these patients and half of those with hypertension were older than 70 years. In this age-group one out of three was hypertensive. Regardless of age, only about 50 percent were actually treated, with nitrates and nifedipine being the drugs of first choice. For elderly, nitrates and furosemide, probably due to other underlying diseases, as well as urapidil i.v., were preferred. For antihypertensive therapy in a broader sense also sedatives were used. These data underline the importance of considering and treating elevated blood pressure in the course of emergency treatments. The high proportion of elderly outpatients stresses the important role geriatric medicine plays for emergency physicians.
Breidung
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Lehrstuhl für Innere Medizin und Gerontologie, Universität Erlangen-Nürnberg.
Heuner
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Hager
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D000293:Adolescent; D000328:Adult; D000368:Aged; D000959:Antihypertensive Agents / Q000009:adverse effects / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000453:epidemiology; D015994:Incidence; D007223:Infant; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
D000959:Antihypertensive Agents
Hypertoner Blutdruck bei alten Patienten im Notarztdienst.