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Issue Date
1994-12-01
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The treatment of arterial hypertension in elderly men in IcelandCitation
Læknablaðið 1994, 80(10):520-8Abstract
The choice of antihypertensive therapy in elderly Icelanders is unknown. In the database of the Icelandic Heart Association 1145 men, aged 70-84 were alive in 1994. Eight hundred thirty-four came to the Heart Association Clinic, 429 of whom either had hypertension or were found to be hypertensive on examination. The prevalence of hypertension in elderly Icelandic men was therefore about 50%. One hundred fifty-seven men took drugs for hypertension. Ninety-five of them were treated with a single drug, 49 with two drugs and five with three drugs. The type of drugs was unknown concerning eight men. Diuretics and ß-blockers were dominant. Although the comparison between those two classes of drugs was uncontrolled the blood pressure was significantly lower in systole on diuretics. The most common combination was ß-blockers and diuretics, then angiotensin converting enzyme inhibitors and diuretics, finally ß-blockers and calcium blockers. It is suggested that the use of diuretics should be increased in this age group.Ekki er vitað hve notkun á háþrýstingslyfjum er mikil á Íslandi eða hvernig sú notkun skiptist milli lyfjaflokka. Í rannsóknarhópi Hjartaverndar reyndust 1145 karlar á aldrinum 70-84 ára vera á lífi árið 1991 og mættu 834 til rannsóknar. Af þeim reyndust 429 annað hvort hafa sögu um háþrýsting eða höfðu háan blóðþrýsting við mælingu á Rannsóknarstöð Hjartaverndar. Í ljós kom að 157 karlar tóku lyf eingöngu vegna háþrýstings. Níutíu og fimm voru meðhöndlaðir með einu lyfi, 49 með tveimur, fimm með þremur lyfjum, en sundurliðun vantaði hjá átta körlum. Þvagræsilyf og ß-blokkar voru langmest notuð, en meðferð með þvagræsilyfjum virtist áhrifaríkari en með ß-blokkum. Langalgengasta samsetningin reyndist vera ß-blokkar og þvagræsilyf, síðan angiotensin ummyndunarblokkar og þvagræsi-lyf, þá ß-blokkar og kalsíumblokkar. Leidd eru fagleg og fjárhagsleg rök fyrir því að aukin notkun þvagræsilyfja sé æskileg í þessum aldurshópi.
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