Some elderly hypertensive patients may manifest as diastolic blood pressure (DBP) lower than 60mmHg, a phenomenon known as isolated systolic hypertension (ISH) with low diastolic pressure. More and more evidence shows that DBP<70mmHg is detrimental to the body. What’s more, the ISH patients with lower DBP often have more risk factors and are of higher risk for cardiovascular events, which become a difficulty for the treatment of the elderly hypertension. Nitrates may be a good option.%在有些高龄患者中,会出现舒张压(DBP)<60mmHg高血压患者,即低DBP的单纯收缩期高血压(ISH)。越来越多的证据表明DBP<70mmHg对机体是不利的,而低DBP的ISH患者常具有更多的心血管危险因素和更多的心血管事件风险,成为老年高血压降压治疗的难点,使用硝酸酯类药物进行治疗可能是一个有益的选择。
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