Highlights the lack of robust evidence for strict blood pressure targets in the elderly and emphasizes individualized care focusing on QOL and ADL.
高齢者は一般に心血管疾患発症に関してハイリスク集団であり,原則としては厳格な降圧が有用と考えられるが,降圧目標について十分なエビデンスはまだない.超高齢者や糖尿病・慢性腎臓病合併の75歳以上高血圧患者でのエビデンスも不十分である.注意深い病態の観察と共に,QOL(quality of life)やADL(activities of daily living)にも配慮した治療が望まれる.
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Hiromi Rakugi (2011) studied this question.
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