Clinical outcomes with a systolic blood pressure lower than 120 mmHg in older patients with high disease burden.
作者： Carlos R. Franco Palacios , Eric N. Haugen , Amanda M. Thompson , Richard W. Rasmussen , Nathan Goracke
DOI: 10.1080/0886022X.2016.1227924
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摘要: AbstractBackground: The target blood pressure in older patients is controversial. Recent studies provided clinical evidence supporting a systolic 50 years at high risk of cardiovascular events.Methods: Retrospective study 380 consecutive ≥60 with stages 1–5 pre-dialysis chronic kidney disease seen between January 2013 and November 2015. outcomes <120 mmHg multiple comorbidities were analyzed.Results: Sixty-eight had pressure <120 mmHg, 312 pressure ≥120 mmHg. Forty-three died during the follow up (11.3%). Patients higher death: 21 (30.9%) vs 22 (7%).Primary cause Cardiovascular: 11 (25.6%), infectious 9 (20.9%), cancer 5 (11.6%), renal failure 6 (13.9%), COPD/pulmonary fibrosis 2 (4.6%), end stage liver 3 (6.9%), traumatic bra...
sci-hub.se 参考文章(16)
Carlos R. Franco Palacios, Eric N. Haugen, Richard W. Rasmussen, Amanda M. Thompson, Avoidance of polypharmacy and excessive blood pressure control is associated with improved renal function in older patients Renal Failure. ,vol. 37, pp. 961- 965 ,(2015) , 10.3109/0886022X.2015.1044399
S Madhavan, W L Ooi, H Cohen, M H Alderman, Relation of pulse pressure and blood pressure reduction to the incidence of myocardial infarction. Hypertension. ,vol. 23, pp. 395- 401 ,(1994) , 10.1161/01.HYP.23.3.395
George L. Bakris, Mark Williams, Lance Dworkin, William J. Elliott, Murray Epstein, Robert Toto, Katherine Tuttle, Janice Douglas, Willa Hsueh, James Sowers, Preserving renal function in adults with hypertension and diabetes: A consensus approach American Journal of Kidney Diseases. ,vol. 36, pp. 646- 661 ,(2000) , 10.1053/AJKD.2000.16225
John J. Sim, Jiaxiao Shi, Csaba P. Kovesdy, Kamyar Kalantar-Zadeh, Steven J. Jacobsen, Impact of achieved blood pressures on mortality risk and end-stage renal disease among a large, diverse hypertension population. Journal of the American College of Cardiology. ,vol. 64, pp. 588- 597 ,(2014) , 10.1016/J.JACC.2014.04.065
Andrew S Levey, Josef Coresh, Tom Greene, Lesley A Stevens, Yaping Zhang, Stephen Hendriksen, John W Kusek, Frederick Van Lente, Chronic Kidney Disease Epidemiology Collaboration*, None, Using Standardized Serum Creatinine Values in the Modification of Diet in Renal Disease Study Equation for Estimating Glomerular Filtration Rate Annals of Internal Medicine. ,vol. 145, pp. 247- 254 ,(2006) , 10.7326/0003-4819-145-4-200608150-00004
Eamon Dolan, Alice Stanton, Lut Thijs, Kareem Hinedi, Neil Atkins, Sean McClory, Elly Den Hond, Patricia McCormack, Jan A. Staessen, Eoin O’Brien, Superiority of Ambulatory Over Clinic Blood Pressure Measurement in Predicting Mortality The Dublin Outcome Study Hypertension. ,vol. 46, pp. 156- 161 ,(2005) , 10.1161/01.HYP.0000170138.56903.7A
Nigel S Beckett, Ruth Peters, Astrid E Fletcher, Jan A Staessen, Lisheng Liu, Dan Dumitrascu, Vassil Stoyanovsky, Riitta L Antikainen, Yuri Nikitin, Craig Anderson, Alli Belhani, Françoise Forette, Chakravarthi Rajkumar, Lutgarde Thijs, Winston Banya, Christopher J Bulpitt, None, Treatment of Hypertension in Patients 80 Years of Age or Older The New England Journal of Medicine. ,vol. 358, pp. 1887- 1898 ,(2008) , 10.1056/NEJMOA0801369
Csaba P. Kovesdy, Anthony J. Bleyer, Miklos Z. Molnar, Jennie Z. Ma, John J. Sim, William C. Cushman, L. Darryl Quarles, Kamyar Kalantar-Zadeh, Blood Pressure and Mortality in U.S. Veterans With Chronic Kidney Disease: A Cohort Study Annals of Internal Medicine. ,vol. 159, pp. 233- 242 ,(2013) , 10.7326/0003-4819-159-4-201308200-00004
Paul A. James, Suzanne Oparil, Barry L. Carter, William C. Cushman, Cheryl Dennison-Himmelfarb, Joel Handler, Daniel T. Lackland, Michael L. LeFevre, Thomas D. MacKenzie, Olugbenga Ogedegbe, Sidney C. Smith, Laura P. Svetkey, Sandra J. Taler, Raymond R. Townsend, Jackson T. Wright, Andrew S. Narva, Eduardo Ortiz, 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8) JAMA. ,vol. 311, pp. 507- 520 ,(2014) , 10.1001/JAMA.2013.284427
Effects of intensive blood-pressure control in type 2 diabetes mellitus. The New England Journal of Medicine. ,vol. 362, pp. 1575- 1585 ,(2010) , 10.1056/NEJMOA1001286