Arterial Hypertension in a Very Old: Significance of the Biological Age

Котовская, Ю. В.; Ткачева, О. Н.; Рунихина, Н. К.; Остапенко, В. С.

doi:10.15829/1728-8800-2017-3-87-96

Cited by 3 publications

(1 citation statement)

References 83 publications

(107 reference statements)

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“…Несмотря на увеличение ожидаемой продолжительности жизни, с возрастом возрастает распространенность хронических неинфекционных заболеваний (ХНИЗ) [1]. В среднем у одного человека старше 60 лет их может быть четыре-пять [2].…”

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Hypertension in Older Adults: The Role of Frailty Syndrome

Zakharova¹

2020

СПНО (MPSE)

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Увеличение распространенности артериальной гипертонии (АГ) у лиц старших возрастных групп определяет необходимость изучения особенностей ее течения у данной категории населения, что связано с наличием коморбидности и полипрагмазии, а также множественных гериатрических синдромов, ключевым из которых является синдром старческой астении (ССА). ССА (синдром «хрупкости», соответствует коду R54 по МКБ-10)-многофакторное, возраст-ассоциированное клиническое состояние, характеризующееся снижением физиологического резерва и функций систем организма, накоплением дефицитов, приводящими к повышенной уязвимости к воздействию эндо-и экзогенных факторов, с высоким риском развития неблагоприятных исходов для здоровья, потери автономности и смерти, наличием потребности в долгосрочном уходе и зависимости от посторонней помощи. ССА характеризуется повышенным риском инвалидности, госпитализации и смертности. В статье представлен обзор доступной отечественной и зарубежной литературы по вопросам, характерным для пациентов старших возрастных групп с артериальной гипертонией и синдромом старческой астении, о механизмах их взаимосвязи, рекомендуемом целевом уровне артериального давления (АД), а также о тактике ведения и выборе антигипертензивной терапии у лиц пожилого и старческого возраста. Ключевые слова: артериальная гипертензия, синдром старческой астении, хрупкий пациент, пожилой пациент, антигипертензивная терапия.

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Hypertension in Older Adults: The Role of Frailty Syndrome

Zakharova¹

2020

СПНО (MPSE)

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Falls As a Problem of an Aging Population, a Modern Look at Risk Factors and Assessment Methods. Role of Fear of Falls in Increasing their Risk

Ларина

Levitskaya

Кудина

2021

Arhivʺ vnutrennej mediciny

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The article presents modern views on the problem of falls in the elderly. There is a global trend of changing the demographic situation - the permanent increase in the proportion of elderly and senile people in the general population, the issues of geriatrics as one of the medical specialties are becoming the most relevant. Among the problems that geriatricians and all specialists involved in the treatment of elderly patients have to solve, one of the most serious is the problem of falls. The article provides a medical review of the assessment of the frequency of falls depending on gender, age, diseases and external factors. The main risk factors for falls and their prevention measures are discussed in detail. Special attention is given to the fear of falls as a significant risk factor. The methods of validation the risk factor with the use of unified questionnaires - “The scale of assessment of the fear of fa lls” and “the Falls efficacy scale” are presented. The purpose of this article is to attract the attention of practitioners to the problem of falls and the fear of falls as one of the significant risk factors, methods of its identification and prevention

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Clinical traits of chronic heart failure in patients with arterial hypertension and senile asthenia syndrome: an observational cross-sectional study

Safronenko

Чесникова

Сафроненко

et al. 2021

Kuban. nauсh. med. vestnik

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Background. A steady population aging and high incidence of arterial hypertension (AH) lead to a stable increase in chronic heart failure (CHF). The rate of senile asthenia syndrome (SAS) rises in people aged over 80 years and becomes an independent factor of cardiovascular complications.Objectives. The identification of risk factors (RF), comorbidity and clinical symptoms in elderly patients with CHF, AH and SAS.Methods. The study covered 161 AH and CHF patients aged over 80 years. Cohort 1 contained “frailty” patients with AH, CHF and SAS, cohort 2 — “strong” patients with AH, CHF but no SAS. RF, concomitant pathology, clinical symptoms and six-minute walk test were evaluated in all patients. Statistical analyses were performed with Statistica 12.0.Results. Cohort 1 had a higher incidence of atrial fibrillation (AF) (p = 0.001) and chronic kidney disease (CKD) (p = 0.036) compared to cohort 2. Frailty women revealed a higher AF incidence vs. frailty men (p = 0.0002). No-SAS patients had statistically significantly higher body mass index (BMI) (p = 0.047) and obese proportion (by 13.8%). Cohort 1 contained a significantly higher CHF FC III (functional class III), and cohort 2 — CHF FC II rate (p = 0.041). CHF FC III was significantly more frequent in frailty women, and CHF FC II — in frailty men (p = 0.018). Cohort 1 had higher clinical severity scores and a lower exercise tolerance compared to cohort 2 (p < 0.001).Conclusion. Patients with CHF and SAS had a more frequent comorbidity with AF and CKD, greater number of comorbidities and a significantly higher CHF FC III rate, especially in women. Frailty patients showed a greater CHF severity and lower exercise tolerance compared to noSAS individuals.

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Arterial Hypertension in a Very Old: Significance of the Biological Age

Cited by 3 publications

References 83 publications

Hypertension in Older Adults: The Role of Frailty Syndrome

Hypertension in Older Adults: The Role of Frailty Syndrome

Falls As a Problem of an Aging Population, a Modern Look at Risk Factors and Assessment Methods. Role of Fear of Falls in Increasing their Risk

Clinical traits of chronic heart failure in patients with arterial hypertension and senile asthenia syndrome: an observational cross-sectional study

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