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  1. Systolic hypertension : The nephrologist's point of view.

    Article, Communication - En anglais

    The Heart, Kidney and Renal Failure. International Forum. Cassino, ITA, 1998/06/29.

    The elevation of systolic blood pressure associated with aging has been considered for years a physiologic phenomenon.

    This idea was based on the repeated observation that, also after middle age, a large majority of individuals in industrialized countries experience a continuous and progressive increase over time in systolic blood pressure, not in diastolic blood pressure.

    However, some individuals in industrialized countries and most individuals in nonindustrialized countries do not acquire an increased systolic blood pressure over time proving that the age-associated rise in systolic blood pressure is not an inevitable phenomenon.

    The change in systolic blood pressure over time strongly reflects lifestyles.

    Diet-dependent factors such as body weight, alcohol intake, and balance between dietary salt and potassium, are important in favoring the age-associated increase in systolic blood pressure, independently of several confounders.

    Epidemiologic studies suggest that elevation of systolic blood pressure is a risk factor for cardiovascular diseases : it relates to high incidence of lethal and nonlethal cardiovascular events also in the presence of diastolic blood pressure in the nonhypertensive range.

    Controlled clinical trials show that the treatment of isolated systolic hypertension reduces the number of cardiovascular events. (...)

    Mots-clés Pascal : Pression systolique, Sénescence, Mortalité, Epidémiologie, Essai clinique, Antihypertenseur, Traitement, Hypertension artérielle, Rein pathologie, Appareil circulatoire pathologie, Appareil urinaire pathologie, Homme

    Mots-clés Pascal anglais : Systolic pressure, Senescence, Mortality, Epidemiology, Clinical trial, Antihypertensive agent, Treatment, Hypertension, Kidney disease, Cardiovascular disease, Urinary system disease, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0319422

    Code Inist : 002B12B05B. Création : 16/11/1999.