How to monitor hypertension in the elderly?

  Hypertension is a disease that severely punishes the health of the elderly and even causes disability. It is controllable and treatable. Its prevalence is higher in the elderly, and the Chinese elderly are more prone to stroke than foreign elderly because of their poor vascular elasticity and weak autoregulation. The Chinese Expert Consensus on the Diagnosis and Treatment of Geriatric Hypertension was published in December 2008 in the Chinese Journal of Internal Medicine, which proposed that the age limit for the elderly in China is ≥60 years. The diagnostic criteria for geriatric hypertension are: age ≥ 60 years, sphygmomanometer continuous or more than 3 times non-same-day sitting blood pressure systolic (commonly known as high pressure) ≥ 140 mmHg, or commonly known as low pressure) ≥ 90 mmHg. If the systolic blood pressure is ≥ 140 mmHg and diastolic blood pressure < 90 mmHg, the diagnosis is simple systolic hypertension in the elderly [1]. This diagnostic criterion differs from the commonly used diagnosis of hypertension. Usually the diagnosis of hypertension must be based on the average value obtained from two or more multiple repeated blood pressure measurements on non-drug status on non-same day [2].  At present, China has entered an aging country, and the average annual growth rate is about 3%. 11% of the total population is over 60 years old at the end of 2005, amounting to 144 million; by 2010, the number of elderly people over 60 years old will reach 174 million, accounting for 12.78% of the total population, with an average annual growth rate of 5.37 million; it is predicted that the elderly population will reach 248 million in 2020, with an aging rate of 17%; it is predicted that the elderly population will reach 17% in 2050. It is predicted that in 2020, the elderly population will reach 248 million and the aging will reach 17%; in 2050, the total elderly population is predicted to exceed 400 million and the aging will reach 30% [3]. This shows that the aging process of China's population is so rapid, and the resulting geriatric diseases will become more and more frequent. In particular, geriatric hypertension. In foreign studies, 27% of people aged <60 years suffered from hypertension, 75% of people aged around 80 years suffered from hypertension, and the prevalence of hypertension among people aged ≥80 years was as high as over 90%. In a survey of 270,000 people in China in 2002, the prevalence of hypertension among people aged ≥60 years was 49%, that is, about one in every two elderly people had hypertension. In China, the awareness rate of hypertension among the elderly is very low. Many older adults are not informed of hypertension until they are seen by a hospital. As a result, only 32.2% of elderly patients with hypertension receive treatment. Their control rate is only 7.6% [1]. Therefore, the situation of diagnosis and treatment of hypertension in the elderly in China is very serious and has a long way to go, which should attract the common attention of the whole society.  Some measures may help the detection and treatment of the disease: 1. Each community hospital and rural township hospitals and village health clinics, the elderly aged ≥ 60 years or older are frequently examined and their blood pressure is measured; regular physical examination. Anyone who meets the above diagnostic criteria should then be registered, followed by prevention and treatment and observation.  2.Hospitals at the county level or above, when the elderly seek medical treatment, blood pressure should be routinely measured to increase the detection rate of hypertension each know rate, so as to increase the rate of hypertension treatment and control rate.  3, the elderly themselves should often go to the community hospital or the nearest medical institution to measure blood pressure, especially when there are headaches, dizziness, head heavy, light-headed, often sleepy, double eyelids sunken and other symptoms, more timely medical treatment. Those who have been found to have high blood pressure should follow the doctor's treatment plan, take the medication on time and in the right amount, and visit the medical institution regularly to give feedback to the doctor on the treatment of blood pressure and listen to the next treatment suggestions.  4. Family members of the elderly should show more concern and care for the elderly and encourage them to go to medical institutions regularly for medical checkups. For the elderly with high third party should urge them to obey the doctor's treatment; adhere to the medication; regularly visit the medical institution, improve their lifestyle, moderate activities, prevent emotional fluctuations, etc. Those who are in a position to do so can teach themselves to measure blood pressure and monitor it at home.  5, blood pressure control target is 130/80mmHg; ≥ 80 years old, blood pressure target is 150/80mmHg.