Hypertension management in older adults

Bilen, Ozlem; Wenger, Nanette K.

doi:10.12688/f1000research.20323.1

Cited by 22 publications

(18 citation statements)

References 48 publications

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“…In turn, these activities lead to an enhanced quality of life. According to previous studies, taking antihypertensive medication and implementing changes to adopt a healthy lifestyle are crucial ways to address hypertension (Bilen & Wenger, 2020 ; Oliveros et al, 2020 ). Our findings support this statement; participants reported that adherence to these two aspects of their self-care behaviour (i.e., medication adherence and lifestyle modification behaviour) allowed them to have better control over their hypertension.…”

Section: Discussionmentioning

confidence: 99%

“…Prior studies identified several healthy habits that promote lower blood pressure, including reducing salt intake, promoting physical activity, and managing stress (Sutipan et al, 2018 ). However, the management of hypertension among older adults is more challenging than that among other age groups because of multiple comorbidities, polypharmacy, and frailty (Bilen & Wenger, 2020 ). Furthermore, lifestyle behaviours, such as unhealthy diet, physical inactivity, and chronic stress, are major factors that influence the occurrence of hypertension among the ageing (Chotisiri et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

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Understanding perspectives on health-promoting behaviours among older adults with hypertension

Chantakeeree

Sormunen

Jullamate

et al. 2022

International Journal of Qualitative Studies on Health and Well

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Purpose Health-promoting behaviours (HPBs) are considered the key to determining health among older adults with hypertension. Increasing our understanding of older adults’ views on HPBs could facilitate the development of interventions aimed at improving their quality of life. This study aims to describe the perceptions of older adults with high blood pressure concerning their HPBs and associated factors. Methods Semi-structured interviews with 40 individuals in Thailand were used to collect the data, which were analysed using thematic analysis. Results The results were categorized into five main themes related to personal, social, and environmental factors. Older adults explained that their experiences with HPBs involve taking responsibility for controlling blood pressure by following a doctor’s prescription, modifying their lifestyles to be healthier, sustaining social relationships, and experiencing spiritual growth through religious practices for inner peace. Older adults also identified environmental factors that influenced their engagement in HPBs depending on their residential areas. Conclusions The findings of this study highlight the importance of practices in which professionals support and encourage older adults to perform HPBs to maintain health and improve their well-being.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Understanding perspectives on health-promoting behaviours among older adults with hypertension

Chantakeeree

Sormunen

Jullamate

et al. 2022

International Journal of Qualitative Studies on Health and Well

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“…Во всем мире артериальная гипертензия (АГ) по-прежнему занимает лидирующие позиции как фактор риска развития сердечно-сосудистых осложнений [1]. Многочисленные клинические исследования показали значительную взаимосвязь между старением и повышением артериального давления (АД), которая с возрастом является основным немодифицируемым фактором риска развития АГ [2].…”

Section: актуальностьunclassified

Left ventricular myocardial dysfunction and parameters of ambulatory blood pressure monitoring in patients with arterial hypertension and frailty

Фомина¹,

Никифоров²,

Фролова³

et al. 2021

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Aim. To study and analyze the systolic and diastolic left ventricle (LV) function, parameters of the ambulatory blood pressure (BP) monitoring in patients over 65 years of age with arterial hypertension, depending on the presence of frailty. Materials and methods. We examined 77 patients over 65 years of age (25 men and 52 women) with arterial hypertension, who were divided into two groups: with the presence of frailty (38 people) and its absence (39 people). To detect frailty, we used the "Age is not a hindrance" questionnaire validated in Russia and the "Get up and go" test. The examination included echocardiography with tissue doppler and ambulatory BP monitoring. Results. In both groups, LV systolic function remained within normal values, while diastolic function was impaired. In the group of people without frailty, type 1 of left ventricular diastolic dysfunction prevailed in 63% of cases, in the group with frailty, type 2 of left ventricular diastolic dysfunction with increased filling pressure was registered in 77% of cases. In both groups, both isolated systolic arterial hypertension and normal indicators of SBP and DBP were recorded during the day. Systolo-diastolic hypertension and hypotension have been presented by individual cases. At the same time, significant differences (p<0.05) in the groups were revealed by the index of time of hypertension SBP at night and were higher in patients with frailty. Correlations were found between the time index of hypertension and SBP at night with the volume index of the left atrium in groups with frailty (0.34; p<0.05) and without frailty (0.40; p<0.05), as well as the time index of hypertension and SAD at night with the maximum rate of regurgitation on the tricuspid valve (0.42; p<0.05) and with estimated systolic pressure in the pulmonary artery (0.41; p<0.05) in the group with frailty. Conclusion. In the group of patients with arterial hypertension older than 65 years without frailty, violations of the left ventricular diastolic function by the type of slowing relaxation predominate, while in the group of patients with senile asthenia, violation of the left ventricular diastolic function by the type of pseudonormalization with increased filling pressure prevails. Features of the ambulatory BP monitoring of patients with hypertension older than 65 years with the presence of frailty are higher values of the time index of hypertension SBP at night. An increase in the time index of hypertension and SBP in patients with hypertension older than 65 years with frailty is associated with an increase in the volume of the left atrium, the rate of tricuspid regurgitation and systolic pressure in the pulmonary artery. The obtained data may indicate an adverse effect of frailty on the progression of heart failure in patients with arterial hypertension, which requires a comprehensive approach with the participation of a geriatrician in the management of such patients. Keywords: arterial hypertension, frailty, echocardiography, left ventricle, systolic function, diastolic function, ambulatory blood pressure monitoring, blood pressure For citation: Fomina ES, Nikiforov VS, Frolova EV, Reshetnik DA. Left ventricular myocardial dysfunction and parameters of ambulatory blood pressure monitoring in patients with arterial hypertension and frailty. Consilium Medicum. 2021; 23 (1): 80–83. DOI: 10.26442/20751753.2021.1.200476

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“…So the term polypharmacy is used when a patient is taking multiple medications and when a doctor prescribes two or more drugs [6]. So polypharmacy is the use of drugs in large quantities that are not in accordance with the patient's health condition [7,8].…”

Section: Introductionmentioning

confidence: 99%

Potential Interactions Analysis of Antihypertensive Drugs Used in Geriatric

2023

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Objective: Hypertension is a degenerative disease that increases with age. Elderly patients are at the highest risk due to organ function decreasing. Therefore, drug interactions are possible. This study determined the potential drug interactions, which aimed to assess the potential for drug interactions based on the mechanism and severity, and next, to determine the relationship between polypharmacy and drug interactions. Methods: This research was conducted retrospectively using data from medical records of geriatric patients with hypertension at the outpatient polyclinic of RSI Ibnu Sina Padang for 2021. Purposive sampling was used in this study. Results: A sample of 155 patients was included in the inclusion criteria. The data were checked using Stockleys Drug Interaction, Adverse Drug Interaction, and software on the Drug Interaction Checker (www. drugs. com), then analyzed descriptively using SPSS. The results showed that the number of potential drug-drug interactions was quite high at 63.2%. The most common mechanism pattern is pharmacodynamics (66.67%), with the highest severity of drug interactions being moderate (88%). The study showed a significant association between polypharmacy and drug interactions (p=0.000). Conclusion: The active role of pharmacists is expected in monitoring drug use that can potentially cause drug interactions. This action can prevent unwanted events associated with concurrent drug use.

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Hypertension management in older adults

Cited by 22 publications

References 48 publications

Understanding perspectives on health-promoting behaviours among older adults with hypertension

Understanding perspectives on health-promoting behaviours among older adults with hypertension

Left ventricular myocardial dysfunction and parameters of ambulatory blood pressure monitoring in patients with arterial hypertension and frailty

Potential Interactions Analysis of Antihypertensive Drugs Used in Geriatric

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