Arterial hypertension and antihypertensive therapy in older patients. The agreed opinion of experts from the Russian Association of Gerontologists and Geriatricians, the Antihypertensive League, the National Society for Preventive Cardiology

Ткачева, О. Н.; Kotovskaya, Yu. V.; Рунихина, Н. К.; Фролова, Е В; Остапенко, В. С.; Шарашкина, Н. В.; Баранова, Е. И.; Bulgakova, S.; Villevalde, S.; Duplyakov, D. V.; Ilnitskiy, A N; Kislyak, O. A.; Кобалава, Ж. Д.; Konradi, Alexandra; Недогода, С. В.; Orlova, Yа A; Pogosova, Nana; Прощаев, К. И.; Чумакова, Г. А.

doi:10.20996/1819-6446-2021-07-01

Cited by 5 publications

(2 citation statements)

References 93 publications

(115 reference statements)

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“…Для этой категории пациентов в настоящее время нет единого мнения об уровне целевого артериального давления (АД). Кроме того, для оценки АД рекомендовано использование стандартизированного измерения АД, что в условиях реальной клинической практики не всегда представляется возможным [38].…”

Section: таблицаunclassified

Chronic Kidney Disease in Older Adults. Consensus Statement of Russian Association of Gerontologists and Geriatricians, Scientific Society of Nephrologists of Russia and Eurasian Association of Therapists

Tkacheva,

Kotovskaya,

Bobkova

et al. 2024

Rossiiskii zhurnal geriatricheskoi meditsiny

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The prevalence of chronic kidney disease (CKD) increases with age, but CKD is often underdiagnosed in older adults and regarded as age-related changes of kidney function. Screening for CKD is mandatory in older adults and should include estimated glomerular filtration rate (eGFR) using both the CKD EPI creatinine-based formula and the albumin/creatinine ratio in a urine spot sample. In older adults the diagnostic criteria of CKD are the same as in younger subjects. CKD is associated with advanced ageing and requires careful assessment of geriatric syndromes. Renal function should be assessed at least annually, considering a rate of decline in eGFR greater than 1 ml/min/1.73 m2 per year as significant. Older adults with CKD are characterized by high comorbidity; risk factors for CKD and geriatric syndromes overlap. CKD should be considered among a number of comorbid conditions that increase the risk of deterioration of geriatric status and underline the need for multidisciplinary management based on a comprehensive geriatric assessment. Patients with eGFR <60 ml/min/1.73 m2 should be considered at high risk for renal and extrarenal adverse drug effects. In these patients, inappropriate medications, supplements, and vitamins should be carefully identified and corrected using STOPP/START criteria. eGFR and estimated creatinine clearance should be carefully monitored during treatment with drugs that can potentially affect renal function and/or the dose of which is adjusted based on renal function, as well as during acute illness or exacerbation of chronic conditions.

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Section: таблицаunclassified

Chronic Kidney Disease in Older Adults. Consensus Statement of Russian Association of Gerontologists and Geriatricians, Scientific Society of Nephrologists of Russia and Eurasian Association of Therapists

Tkacheva,

Kotovskaya,

Bobkova

et al. 2024

Rossiiskii zhurnal geriatricheskoi meditsiny

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“…В современных Российских рекомендациях [17,[27][28][29] в отличие от большинства международных рекомендаций методу АОАД не уделено внимания. В представленном обзоре авторы хотели бы обсудить особые клинические случаи, в которых использование АОАД весьма перспективно.…”

Section: перспективные области применения аоадunclassified

Office blood pressure: overcoming the problems of diagnosis and control of arterial hypertension treatment

Platonova¹,

Fedorova²,

Горбунов³

2022

Cardiovasc Ther Prev

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Some national guidelines since 2017 considered the most common method for diagnosing and controlling hypertension (HTN) (office blood pressure (OBP) measurement) as screening only. Automated OBP (AOBP) measurement claims to be a unique method by obtaining a standardized result, even in primary health care. AOBP improves the reliability of data by reducing the influence of various errors on result. However, although the level of AOBP is on average lower than similar OBP in clinical and research practice and is comparable to the mean 24-hour BP monitoring, at present, all international guidelines emphasize the mandatory use of ambulatory BP measurements for diagnostic purposes. Whether the results of AOBP and the reference level ≥130/80 mm Hg are equivalent with the same OBP level, the use of which is associated with an increase in the prevalence of hypertension and insufficient control of antihypertensive therapy, is a question for research. Compared with conventional OBP, the use of AOBP in conjunction with outpatient measurement leads to a reduction in the proportion and timing of initiation of treatment in patients with masked HTN, whose cardiovascular risk is similar to that of patients with stable HTN. However, the widespread implementation of AOBP is hindered by the high cost and lack of accumulated data. The review analyzes in detail the limitations and advantages of various types of BP measurement, as well as the potential of using AOBP in modern clinical and research practice.

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Geriatric medicine: achievements and prospects

Фролова

Владимировна²

2021

Rossiĭskiĭ semeĭnyĭ vrach

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The article is a lecture on the history of development and the current state of geriatric medicine. The purpose of the lecture is to consider the stages of the formation of geriatrics as a scientific and clinical discipline and to substantiate its significance. The lecture defines concepts such as holistic approach, complex geriatric assessment, geriatric syndrome. The role of the founders of international and domestic geriatrics, such as M. Warren, B. Isaac, D. Sheldon, I.I. Mechnikov, V.N. Anisimov, E.S. Pushkova, is described. Various directions of geriatric medicine are considered and the necessity of their study is justified. The results of scientific research in geriatrics are analyzed. The basic principles of the ortho-geriatric approach, which becomes crucial for the successful treatment of elderly patients with fractures, as well as the features of geriatric rehabilitation, geriatric cardiology, are described. In conclusion, the author offers several models for the development of geriatric medicine.

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Arterial hypertension and antihypertensive therapy in older patients. The agreed opinion of experts from the Russian Association of Gerontologists and Geriatricians, the Antihypertensive League, the National Society for Preventive Cardiology

Cited by 5 publications

References 93 publications

Chronic Kidney Disease in Older Adults. Consensus Statement of Russian Association of Gerontologists and Geriatricians, Scientific Society of Nephrologists of Russia and Eurasian Association of Therapists

Chronic Kidney Disease in Older Adults. Consensus Statement of Russian Association of Gerontologists and Geriatricians, Scientific Society of Nephrologists of Russia and Eurasian Association of Therapists

Office blood pressure: overcoming the problems of diagnosis and control of arterial hypertension treatment

Geriatric medicine: achievements and prospects

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