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Yaşlılarda hipertansiyona yaklaşım

Approach to hypertension in elderly people

Journal Name:

  • Türkiye Aile Hekimliği Dergisi

Publication Year:

  • 2010
DOI: 
doi:10.2399/tahd.10.167

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Systolic blood pressure higher than 140 mmHg or diastolic blood pressure higher than 90 mmHg for people older than 65 years is called hypertension in elderly. Hypertension is frequent among elderly people (>60%) and isolated systolic hypertension (systolic blood pressure a140 mmHg or diastolic blood pressure a90 mmHg) constitutes two-third of all cases of hypertension in elderly. Hypertension of the elderly differs from younger adults. Besides endothelial changes due to aging and decrease in the left ventricu¬lar function, mechanisms of the regulation of the cerebral blood flow are more vulnerable. Thus; agressive treatments for hypertension in the elderly can be harmful. This article aims to give informa¬tion about detection, treatment and differences of the hypertension in the elderly population.
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Abstract (Original Language): 
Yaşlıda hipertansiyon, 65 yaşın üzerinde, sistolik kan basıncının 140 mmHg'nın ya da diyastolik kan basıncının 90 mmHg'nın üzerinde olması ile tanımlanır. Hipertansiyon yaşlılarda sık görülür (>%60), üçte ikisi yalnıca sistolik ya da yalnızca diastoliktir; (sistolik kan basıncı a140 mmHg ya da diyastolik kan basıncının a90 mmHg olması). Yaşlıdaki hipertansiyon diğer yaşlardaki hipertansiyondan şu özellikleriyle ayrılır: Yaşlıda, endotel değişimlerinin ve sol kalp fonksiyonu azalmasının yanısıra beyin kan akımını düzenleyen mekanizmalar da daha kırılgandır. Bu nedenle ileri yaş grubunda agre-sif yaklaşımlı tedavi yarar yerine zarar verebilir. Bu makalede yaşlı¬daki hipertansiyonun tanı ve tedavi özellikleri gözden geçirilmekte¬dir.
FULL TEXT (PDF): 
PDF icon arastrmx_116859_14_pp_167-172.pdf
  • 4
167-172
  • Turkish

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