Tedavi Hedefleri: Ne Kadar Kabul Edilebilir?

ÖzHipertansiyon tedavisinde kan basıncı (KB) hedefleri devamlı değişmektedir. Ko-morbiditesi olan ve daha düşük KB değerleri olan hastalarda tedavi başlanmasının faydaları net değildir. ESC ve ACC/AHA hipertansiyon rehberleri çoğu hipertansif hastada <140/90mmHg, yaşlılarda ise <150/90 mmHg değerleri hedef KB değerleri olarak önermekte-dir. Fakat, yeni randomize çalışmalar ve bazı meta-analizler yüksek riskli ve yaşlı kişilerde daha düşük KB değerlerini destekleyen bazı veriler ortaya koymuştur.

Anahtar Kelimeler:

Hipertansiyon, yaşlı hastalar, yüksek riskli hastalar

Treatment Objectives: How Much Acceptable?

AbstractBlood pressure goals in hypertension treatment alter frequently. It is not certain tostart anti-hypertensive treatment in patients with lower BP levels and co-morbidities. ESCand ACC/AHA hypertension guidelines recommended <140/90 mmHg BP levels in mosthypertensive patients and < 150/90 mmHg levels in older patients as BP target levels.However, novel randomized trials and some meta-analysis revealed some supporting dataof lower BP levels in high risk and older patients.

Keywords:

Hypertension, older patients, high risk patients,

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