Гипертонический криз у лиц пожилого возраста

Гипертонический криз – это внезапное повышение артериального давления (АД) до индивидуально высокого уровня, сопровождающееся клиническими симптомами, поражением органов-мишеней и требующее немедленного его снижения. C 2018 г. в Европе и c 2020 г. в России неосложненный гипертонический криз рекомендовано рассматривать в рамках злокачественной (неконтролируемой) артериальной гипертонии. Клиническая картина повышения АД у пожилых пациентов характеризуется неспецифическими симптомами, даже при развитии поражения органов-мишеней. Ведение этой группы пациентов требует от врача знания коморбидности пациента и списка принимаемых им препаратов на постоянной основе, чтобы минимизировать развитие побочных эффектов назначаемых препаратов и их нежелательное взаимодействие с плановой терапией.

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