title: [Comparison of treatment principles of elderly hypertensive patients with different cardiovascular risks based on Hungarian and international guidelines (2001-2015)].
abstract: The aim of this review is to present recommendations of the currently valid Hungarian practice guidelines regarding antihypertensive therapy of the elderly and very elderly with different cardiovascular risk profiles, compare and contrast these with international guidelines, describe changes brought about by the past 15 years, and review the evidence behind. Hypertension treatment guidelines and relevant statements of the Hungarian and European Societies of Hypertension, of the Joint National Committee and American Heart Association were processed. The use of age-independent treatment threshold, goal blood pressure values, and the tendency towards more intensive control in co-morbidities conferring high cardiovascular risk were overcome by the upsurge of new evidence and the re-evaluation of previous clinical trial data. These lead to the introduction of age-specific and generally less stringent blood pressure targets in all regions compared. However, the guidelines currently in force still differ in terms of the attainable values in concomitant diabetes, chronic kidney disease or albuminuria, use of beta-blockers and the definition of elderly. Nevertheless, there is unanimous agreement that benefit from lowering of blood pressure under systolic 140 mmHg is not supported by evidence and further investigation is warranted to determine optimal treatment targets in the elderly, in the aged over 80 and specific elderly risk groups.
authors: Doktorjelöltek Iskolája, Aesculap Akadémia Budapest, Halmi u. 20-22., 1115.
authors: Anikó
authors: A
authors: Bödör
authors: Doktorjelöltek Iskolája, Aesculap Akadémia Budapest, Halmi u. 20-22., 1115.|II. Belgyógyászati Klinika, Geriátriai Tanszéki Csoport, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.|Nephrologia-Hypertonia Profil és Aktív Geriátriai Részleg, Szent Imre Egyetemi Oktatókórház Budapest.|1. Sz. Dialízisközpont, B. Braun Avitum Dialízishálózat Budapest.
authors: István
authors: I
authors: Kiss
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001794:Blood Pressure / Q000187:drug effects*; D001795:Blood Pressure Determination; D002318:Cardiovascular Diseases / Q000150:complications* / Q000503:physiopathology; D002986:Clinical Trials as Topic; D015897:Comorbidity; D048909:Diabetes Complications / Q000188:drug therapy; D019317:Evidence-Based Medicine; D006801:Humans; D006814:Hungary; D006973:Hypertension / Q000150:complications / Q000188:drug therapy* / Q000503:physiopathology*; D006977:Hypertension, Renal / Q000188:drug therapy / Q000503:physiopathology; D007391:International Cooperation; D017202:Myocardial Ischemia / Q000150:complications; D017410:Practice Guidelines as Topic; D051436:Renal Insufficiency, Chronic / Q000150:complications; D018570:Risk Assessment; D012307:Risk Factors; D012720:Severity of Illness Index
chemical_list: D000959:Antihypertensive Agents
keywords: aged 80 and over; aggkor; elderly; guidelines; hypertension; hypertonia; időskor; kezelés; szakmai irányelv; treatment