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What is an appropriate blood pressure goal for the elderly: review of recent studies and practical recommendations

Overview of attention for article published in Clinical Interventions in Aging, November 2013
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About this Attention Score

  • Above-average Attention Score compared to outputs of the same age (53rd percentile)
  • Above-average Attention Score compared to outputs of the same age and source (55th percentile)

Mentioned by

twitter
3 tweeters

Citations

dimensions_citation
32 Dimensions

Readers on

mendeley
76 Mendeley
citeulike
1 CiteULike
Title
What is an appropriate blood pressure goal for the elderly: review of recent studies and practical recommendations
Published in
Clinical Interventions in Aging, November 2013
DOI 10.2147/cia.s33087
Pubmed ID
Authors

Debbie Cohen, Matthew Denker

Abstract

Hypertension is common in the elderly, and isolated systolic hypertension is responsible for the majority of hypertension in this population. Hypertension in the elderly can be attributed to numerous structural and functional changes to the vasculature that develop with advancing age. Increased systolic blood pressure is associated with adverse outcomes, including stroke, cardiovascular disease, and death. Some studies demonstrate an inverse relationship between cardiovascular outcomes and diastolic blood pressure whereas other studies show a J-shaped or U-shaped association between blood pressure and outcomes. The complex J-shaped association coupled with the unique characteristics of elderly patients have led to much debate and confusion regarding the treatment of hypertension in this population. Clinical trials indicate a benefit to therapy in older adults, and there appears to be no age threshold above which antihypertensive therapy should be withheld. Treatment of hypertension in elderly patients is further complicated by increased susceptibility to brain hypoperfusion with orthostatic hypotension as well as the risk of drug-drug interactions. We recommend a systolic blood pressure goal of <140 mmHg in patients less than 80 years of age and a systolic blood pressure goal of 140-150 mmHg in patients 80 years of age or older. Reduction of blood pressure is probably more important than the specific agent used and initiation of drug therapy with an angiotensin converting enzyme inhibitor, angiotensin receptor blocker, calcium channel blocker, or diuretic are all reasonable options, and the decision should be individualized based on underlying comorbidities.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 76 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 1%
United States 1 1%
Switzerland 1 1%
Unknown 73 96%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 13 17%
Student > Master 10 13%
Student > Ph. D. Student 9 12%
Student > Postgraduate 8 11%
Researcher 7 9%
Other 20 26%
Unknown 9 12%
Readers by discipline Count As %
Medicine and Dentistry 38 50%
Nursing and Health Professions 6 8%
Unspecified 3 4%
Sports and Recreations 3 4%
Agricultural and Biological Sciences 2 3%
Other 9 12%
Unknown 15 20%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 May 2018.
All research outputs
#7,878,867
of 14,003,963 outputs
Outputs from Clinical Interventions in Aging
#716
of 1,418 outputs
Outputs of similar age
#82,958
of 184,022 outputs
Outputs of similar age from Clinical Interventions in Aging
#17
of 45 outputs
Altmetric has tracked 14,003,963 research outputs across all sources so far. This one is in the 42nd percentile – i.e., 42% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,418 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.2. This one is in the 45th percentile – i.e., 45% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 184,022 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 53% of its contemporaries.
We're also able to compare this research output to 45 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 55% of its contemporaries.