تفاصيل الوثيقة نوع الوثيقة : مقال في مجلة دورية  عنوان الوثيقة : Managing Older Mildly Hypertensive Patients without Drugs Managing Older Mildly Hypertensive Patients without Drugs   لغة الوثيقة : الانجليزية  المستخلص : Clinieal trials have shown rhar drug treat- to derermine whether nO~PharmaeOIOgiealinment of hypertension reducescardiovascularmor- tervention for borderline to mild hypertension in bidity and mortality in older patients. On the older patients is effective. other hand, the effectivenessof a nonpharmacological approach to such patients has not been well documented. Despite this, the 1988 Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure recommended that older hypertensive patients shouid initially be treated without the use of drugs. Evidence that nonpharmacological intervention can effectively reduce blood pressure has corne primarily from studies of middle-aged persons with elevated diastolic pressure.4These data tend to show that the greatest reduction in blood pressure occurs when overweight persons lose weight and normal-weightpersons reduce sodium intake.s Data also support the notion that increasing physical exerciseand restricting alcohol intake may be b~neficial,although these data are somewhat equivoca1.6The goal of our study was Patient Selection and Methods We selected for our study population a total of 56 patients who ranged in age from 60 to 85 years, had diastolic blood pressures ranging from 85 to 100 mm Hg, and who were at least moderately overweight (115% or more of ideal body weight). Patients were excluded if they had experienced a cardiovascular event during the past year or had uncontrolled diabetes mellitus or another severe chronic disease. The 56 patients were rarlcomized to a nonpharmacological intervention group or a control group that received no treatment during the sixmonth study period. Participation in the study was ended if a patient's systolic blood pressure rose above 199 mm Hg or diastolic pressure was above 105 mm Hgon two cons~cutive visits one to two weeks apart.  ردمد : 0  اسم الدورية : Hypertension and Vascular Dis  المجلد : 10  العدد : 6  سنة النشر : 1413 هـ 1993 م  نوع المقالة : مقالة علمية  تاريخ الاضافة على الموقع : Tuesday, February 7, 2012  الباحثون اسم الباحث (عربي) اسم الباحث (انجليزي) نوع الباحث المرتبة العلمية البريد الالكتروني دعاء الديروي EL-Derwi, Douaa باحث مشارك دكتوراه   الملفات اسم الملف النوع الوصف  32188.pdf pdf   الرجوع إلى صفحة الأبحاث