Hypertension management is challenging in frail older adults. The balance between treatment risks and benefits may be difficult to achieve due to an increased vulnerability to treatment-related adverse events, and limited evidence is available to support clinical decisions. The effects of frailty on blood pressure are unclear, as well as its impact on antihypertensive treatment benefits. Appropriate blood pressure targets in frail patients are debated and the frailty measure which best inform clinical decisions in hypertensive patients has yet to be identified. Therefore, hypertension management in frail older adults still represents a 'gap in evidence'. Knowledge of currently available literature is a fundamental prerequisite to develop future research and may help to implement frailty assessment and improve hypertension management in this vulnerable population. Given these premises, we present a narrative review illustrating the most relevant issues that are a matter of debate and that should be addressed in future studies.

Hypertension management in frail older adults / Rivasi, Giulia; Tortù, Virginia; D’Andria, Maria F.; Turrin, Giada; Ceolin, Ludovica; Rafanelli, Martina; Mossello, Enrico; Ungar, Andrea. - In: JOURNAL OF HYPERTENSION. - ISSN 0263-6352. - ELETTRONICO. - Publish Ahead of Print:(2020), pp. 400-407. [10.1097/HJH.0000000000002685]

Hypertension management in frail older adults

Rivasi, Giulia;Tortù, Virginia;Turrin, Giada;Ceolin, Ludovica;Rafanelli, Martina;Mossello, Enrico;Ungar, Andrea
2020

Abstract

Hypertension management is challenging in frail older adults. The balance between treatment risks and benefits may be difficult to achieve due to an increased vulnerability to treatment-related adverse events, and limited evidence is available to support clinical decisions. The effects of frailty on blood pressure are unclear, as well as its impact on antihypertensive treatment benefits. Appropriate blood pressure targets in frail patients are debated and the frailty measure which best inform clinical decisions in hypertensive patients has yet to be identified. Therefore, hypertension management in frail older adults still represents a 'gap in evidence'. Knowledge of currently available literature is a fundamental prerequisite to develop future research and may help to implement frailty assessment and improve hypertension management in this vulnerable population. Given these premises, we present a narrative review illustrating the most relevant issues that are a matter of debate and that should be addressed in future studies.
2020
Publish Ahead of Print
400
407
Goal 3: Good health and well-being for people
Rivasi, Giulia; Tortù, Virginia; D’Andria, Maria F.; Turrin, Giada; Ceolin, Ludovica; Rafanelli, Martina; Mossello, Enrico; Ungar, Andrea
File in questo prodotto:
File Dimensione Formato  
Hypertension_management_in_frail_older_adults__a.3.pdf

Accesso chiuso

Tipologia: Pdf editoriale (Version of record)
Licenza: DRM non definito
Dimensione 472.56 kB
Formato Adobe PDF
472.56 kB Adobe PDF   Richiedi una copia

I documenti in FLORE sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificatore per citare o creare un link a questa risorsa: https://hdl.handle.net/2158/1226615
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 13
  • ???jsp.display-item.citation.isi??? 12
social impact