Arterial hypertension management in patients over 80 years old: comment on the position agreement of the Russian experts
https://doi.org/10.18705/1607-419X-2018-24-6-646-653
Abstract
The article discusses four statements of the position agreement of the Russian experts on the treatment of arterial hypertension in patients over 80 years old, as well as in patients with senile asthenia. These statements consider recommendations on the threshold and target blood pressure levels, on the initial antihypertensive therapy (monotherapy or combination therapy), the initial doses of the drugs (low or high) in patients over 80 years old with or without senile asthenia. The authors believe that these statements require some correction as they do not fully correspond to the results of the HYVET trial. The level of evidence and recommendation class stated in the position agreement are disputable and give rise to doubt. The authors compare the position agreement by the Russian experts and European guidelines 2013 and present the evidence of the large randomized clinical trials and meta-analyses.
About the Authors
D. Yu. Platonov
Tver State Medical University.
Russian Federation
Dmitry Yu. Platonov, MD, PhD, DSc, Head, Department of the Internal Diseases, Faculty of the Advanced Professional Medical Training.
Russian Federation
Dmitry Yu. Platonov, MD, PhD, DSc, Head, Department of the Internal Diseases, Faculty of the Advanced Professional Medical Training.
S. N. Bel'diev
Tver State Medical University.
Russian Federation
Russian Federation
Sergey N. Bel'diev, MD, PhD, Associate Professor, Department of the Internal Diseases, Faculty of the Advanced Professional Medical Training.
4 Sovetskaja street, Tver, 170100.
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Review
For citations:
Platonov D.Yu., Bel'diev S.N. Arterial hypertension management in patients over 80 years old: comment on the position agreement of the Russian experts. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2018;24(6):646-653. (In Russ.) https://doi.org/10.18705/1607-419X-2018-24-6-646-653
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