Open AccessArterial hypertension management in patients over 80 years old: comment on the position agreement of the Russian experts
Author(s) -
Д. Ю. Платонов,
С. Н. Бельдиев
Publication year - 2019
Publication title -
arterialʹnaâ gipertenziâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.126
H-Index - 5
eISSN - 2411-8524
pISSN - 1607-419X
DOI - 10.18705/1607-419x-2018-24-6-646-653
Subject(s) - medicine , position (finance) , blood pressure , randomized controlled trial , clinical trial , hypertension treatment , physical therapy , pediatrics , finance , economics
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.