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Prise en charge de l’hypertension artérielle du sujet âgé fragile

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La personne âgée fragile
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Durant ces vingt dernières années, l’amélioration d’une part de la prise en charge des sujets âgés et d’autres part des pathologies cardiovasculaires ont vu émerger une population de plus en plus âgée présentant des problématiques cardio-vasculaires. L’hypertension artérielle touche plus de 70 % des sujets après 80 ans et constitue donc un enjeu important de santé publique. L’intérêt du traitement de l’hypertension chez la personne très âgée était il y a encore quelques années controversé. Mais plusieurs études récentes ont contribuées à considérer l’hypertension artérielle du sujet très âgé comme un facteur de risque cardiovasculaire à part entière, notamment sur le plan neuro-vasculaire mais également en terme de mortalité. On sait également que les sujets âgés sont souvent les moins bien contrôlés sur le plan tensionnel avec des conséquences graves en termes de morbi/mortalité.

L.C. Min et al. Quality Indicators for the Care of Hypertension in Vulnerable Elders. JAGS 55:S359–S365, 2007.

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Références

  1. Hajjar I, Kotchen TA. Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988–2000. JAMA 2003;290:199–206.

    Article  PubMed  Google Scholar 

  2. Sytkowski PA, D’Agostino RB, Belanger AJ et al. Secular trends in long-term sustained hypertension, long-term treatment, and cardiovascular mortality. The Framingham Heart Study 1950 to 1990. Circulation 1996;93:697–703.

    PubMed  CAS  Google Scholar 

  3. Franklin SS, Jacobs MJ, Wong ND et al. Predominance of isolated systolic hypertension among middle-aged and elderly US hypertensives: Analysis based on National Health and Nutrition Examination Survey (NHANES) III. Hypertension 2001;37:869–874.

    PubMed  CAS  Google Scholar 

  4. Lewington S, Clarke R, Qizilbash N et al. Age-specific relevance of usual blood pressure to vascular mortality: A meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 2002;360:1903–1913.

    Article  PubMed  Google Scholar 

  5. Lloyd-Jones DM, Evans JC, Levy D. Hypertension in adults across the age spectrum: Current outcomes and control in the community. JAMA 2005;294: 466–472.

    Article  PubMed  CAS  Google Scholar 

  6. Staessen JA, Gasowski J, Wang JG et al. Risks of untreated and treated isolated systolic hypertension in the elderly: Meta-analysis of outcome trials. Lancet 2000;355:865–872.

    Article  PubMed  CAS  Google Scholar 

  7. Chobanian AV, Bakris GL, Black HR et al. Seventh report of the JointNational Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension 2003;42:1206–1252.

    Article  PubMed  CAS  Google Scholar 

  8. VHA. VHA/DoD Clinical Practice Guideline for Management of Hypertension in Primary Care (online). Available at Http:/Www.Ogp.Med.Va.Gov/ Cpg/HTN04/HTN GOL.Htm Accessed September 20, 2005.

    Google Scholar 

  9. European Society of Hypertension-European Society of Cardiology Guidelines Committee. European Society of Hypertension-European Society of Cardiology guidelines for the management of arterial hypertension. J Hypertens 2003;21:1011–1053.

    Article  Google Scholar 

  10. Williams B, Poulter NR, Brown MJ et al. British Hypertension Society guidelines for hypertension management 2004 (BHS-IV): Summary. BMJ 2004;328: 634–640.

    Article  PubMed  Google Scholar 

  11. Kammersgaard LP, Jorgensen HS, Reith J et al. Short-and long-term prognosis for very old stroke patients. The Copenhagen Stroke Study. Age Ageing 2004;33:149–154.

    Article  PubMed  Google Scholar 

  12. Fried LF, Shlipak MG, Crump C et al. Renal insufficiency as a predictor of cardiovascular outcomes and mortality in elderly individuals. J Am Coll Cardiol 2003;41:1364–1372.

    Article  PubMed  Google Scholar 

  13. Levey AS, Coresh J, Balk E et al. National Kidney Foundation practice guidelines for chronic kidney disease: Evaluation, classification, and stratification. Ann Intern Med 2003;139:137–147.

    PubMed  Google Scholar 

  14. Anderson GH Jr, Blakeman N, Streeten DH. The effect of age on prevalence of secondary forms of hypertension in 4429 consecutively referred patients. J Hypertens 1994;12:609–615.

    Article  PubMed  Google Scholar 

  15. Touyz RM, Campbell N, Logan A et al. The 2004 Canadian recommendations for the management of hypertension: Part IIIFLifestyle modifications to prevent and control hypertension. Can J Cardiol 2004;20:55–59.

    PubMed  CAS  Google Scholar 

  16. Peterson AM, Takiya L, Finley R. Meta-analysis of trials of interventions to improve medication adherence. Am J Health Syst Pharm 2003;60: 657–665.

    PubMed  Google Scholar 

  17. Alam S, Johnson AG. A meta-analysis of randomised controlled trials (RCT) among healthy normotensive and essential hypertensive elderly patients to determine the effect of high salt (NaC1) diet on blood pressure. J Hum Hypertens 1999;13:367–374.

    Article  PubMed  CAS  Google Scholar 

  18. Kelley GA, Sharpe KK. Aerobic exercise and resting blood pressure in older adults: A meta-analytic review of randomized controlled trials. J Gerontol A Biol Sci Med Sci 2001;56A:M298–M303.

    Google Scholar 

  19. Gueyffier F, Boutitie F, Boissel JP et al. Effect of antihypertensive drug treatment on cardiovascular outcomes in women and men. A meta-analysis of individual patient data from randomized, controlled trials. The INDANA Investigators. Ann Intern Med 1997;126:761–767.

    PubMed  CAS  Google Scholar 

  20. Cherney D, Straus S. Management of patients with hypertensive urgencies and emergencies: A systematic review of the literature. J Gen Intern Med 2002;17: 937–945.

    Article  PubMed  Google Scholar 

  21. Lithell H, Hansson L, Skoog I et al. The Study on Cognition and Prognosis in the Elderly (SCOPE): Principal results of a randomized double-blind intervention trial. J Hypertens 2003;21:875–886.

    Article  PubMed  CAS  Google Scholar 

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Philippe Chassagne Yves Rolland Bruno Vellas

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Toulza, O. (2009). Prise en charge de l’hypertension artérielle du sujet âgé fragile. In: Chassagne, P., Rolland, Y., Vellas, B. (eds) La personne âgée fragile. Springer, Paris. https://doi.org/10.1007/978-2-287-93911-2_27

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  • DOI: https://doi.org/10.1007/978-2-287-93911-2_27

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-93910-5

  • Online ISBN: 978-2-287-93911-2

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