Managing hypertension in syncope patients requires the accurate balancing of hypotensive and cardiovascular risks. On the basis of the available literature, this study analyses the complex inter-relationship between these clinical problems and presents an algorithm strategy to guide hypertension management in patients affected by syncope episodes. A SBP target of 120mmHg is recommended in patients with a low syncope risk and a high cardiovascular risk. In patients with a high syncope risk and a low cardiovascular risk, and in older (70R) frail individuals, a less intensive treatment is advisable, targeting SBP of 140 mmHg. SBP values up to 160mmHg can be tolerated in severe frailty or disability. Patients with hypertension and syncope may benefit from team-based care by a 'Blood Pressure Team' including experts on hypertension and syncope and a geriatrician. The team should carry out a multidimensional assessment to balance syncope and cardiovascular risk and develop therapeutic strategies customized to individuals' frailty and functional status.

Rivasi, G., Brignole, M., Rafanelli, M., Bilo, G., Pengo, M., Ungar, A., et al. (2020). Blood pressure management in hypertensive patients with syncope: how to balance hypotensive and cardiovascular risk. JOURNAL OF HYPERTENSION, 38(12), 2356-2362 [10.1097/HJH.0000000000002555].

Blood pressure management in hypertensive patients with syncope: how to balance hypotensive and cardiovascular risk

Bilo, G;Pengo, M;Parati, G
2020

Abstract

Managing hypertension in syncope patients requires the accurate balancing of hypotensive and cardiovascular risks. On the basis of the available literature, this study analyses the complex inter-relationship between these clinical problems and presents an algorithm strategy to guide hypertension management in patients affected by syncope episodes. A SBP target of 120mmHg is recommended in patients with a low syncope risk and a high cardiovascular risk. In patients with a high syncope risk and a low cardiovascular risk, and in older (70R) frail individuals, a less intensive treatment is advisable, targeting SBP of 140 mmHg. SBP values up to 160mmHg can be tolerated in severe frailty or disability. Patients with hypertension and syncope may benefit from team-based care by a 'Blood Pressure Team' including experts on hypertension and syncope and a geriatrician. The team should carry out a multidimensional assessment to balance syncope and cardiovascular risk and develop therapeutic strategies customized to individuals' frailty and functional status.
Articolo in rivista - Review Essay
Blood pressure; hypertension; hypotension; older adults; syncope;
English
2020
38
12
2356
2362
reserved
Rivasi, G., Brignole, M., Rafanelli, M., Bilo, G., Pengo, M., Ungar, A., et al. (2020). Blood pressure management in hypertensive patients with syncope: how to balance hypotensive and cardiovascular risk. JOURNAL OF HYPERTENSION, 38(12), 2356-2362 [10.1097/HJH.0000000000002555].
File in questo prodotto:
File Dimensione Formato  
Rivasi-2020-J Hypertens-VoR.pdf

Solo gestori archivio

Descrizione: Review
Tipologia di allegato: Publisher’s Version (Version of Record, VoR)
Dimensione 329.49 kB
Formato Adobe PDF
329.49 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/398416
Citazioni
  • Scopus 11
  • ???jsp.display-item.citation.isi??? 9
Social impact