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BMC Cardiovascular Disorders

, 14:193

Hypertension and Cardiovascular Risk

Abstract

BackgroundDespite the progressive increase in life expectancy and the relationship between aging with multi-morbidities and the increased use of healthcare resources, current clinical practice guidelines CPG on cardiometabolic risk cannot be adequately applied to elderly subjects with multiple chronic conditions. Its management frequently becomes complicated by both, an excessive use of medications that may lead to overtreatment, drug interactions and increased toxicity, and errors in dosage and non-compliance. Concerned by this gap, the Spanish Society of Internal Medicine created a group of independent experts on cardiometabolic risk who discussed what they considered to be unanswered questions in the management of elderly patients.

DiscussionCurrent guidelines do not specifically address the problem of elderly with multiple chronic conditions. For this reason, the combined use of the limited available evidence, clinical experience and common sense, could all help us to address this unmet need. In very old people, life expectancy and functionality are the most important factors for guiding potential treatments. Their higher propensity to develop serious adverse events and their shorter lifespan could prevent them from obtaining the potential benefits of the interventions administered.

SummaryIn this document, experts on cardiometabolic risk factors have established a number of consensual recommendations that have taken into account international guidelines and clinical experience, and have also considered the more effective use of healthcare resources. This document is intended to provide general recommendations for clinicians and to promote the effective use of procedures and medications.

KeywordsElderly patients Cardio-metabolic risk factors Cardiovascular diseases AbbreviationsEHISEuropean health interview survey

CVDCardiovascular disease

CPGClinical practice guidelines

SNSSpanish national health system

SEMISpanish society of internal medicine

BPBlood pressure

ABPMAmbulatory blood pressure monitoring

MIMyocardial infarction

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Autor: Ricardo Gómez-Huelgas - Vicente Giner-Galvañ - José M Mostaza - José I Cuende - Jose M de Miguel-Yanes - Eduardo Rovi

Fuente: https://link.springer.com/







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