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- W2912007603 abstract "La necesidad de tratamiento de la hipertensión en la población anciana es un hecho demostrado y se asocia a una reducción del riesgo de enfermedad cardiovascular. Pero el abordaje de este problema frecuentemente resulta una tarea complicada, ya que estos pacientes presentan unas características propias: al deterioro estructural y funcional del sistema cardiovascular y de sus mecanismos de regulación neurohumorales, se suma en edades avanzadas la presencia de una farmacocinética alterada, así como una comorbilidad y farmacoterapia múltiple. Presentamos el caso de una paciente anciana hipertensa con enfermedad de Parkinson que sufre episodios de hipotensión con desvanecimiento. Dichos episodios, en relación con su patología neurológica y los fármacos empleados para su manejo, han hecho necesario un estudio detenido y una modificación gradual y poco agresiva del tratamiento antihipertensivo. The need for treatment of hypertension in the elderly population is a demonstrated fact, with a reduction of risk of cardiovascular disease. However, approaching this problem is frequently a complicated task since these patients have their own characteristics: together with structural and functional deterioration of the cardiovascular system and its neurohumoral regulation mechanisms, there are altered pharmacokinetics and multiple pharmacotherapy and comorbidity in the elderly. We present the case of an elderly hypertense female patient with Parkinson's disease, who suffers episodes of hypotension with fainting. These episodes, in relationship with their neurological pathology and the drugs used for their treatment, have made it necessary to conduct a careful study and gradual and not very aggressive modification of the antihypertensive treatment." @default.
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- W2912007603 date "2007-11-01" @default.
- W2912007603 modified "2023-10-05" @default.
- W2912007603 title "Hipotensión en anciana hipertensa con Parkinson: caso clínico" @default.
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- W2912007603 doi "https://doi.org/10.1016/s0212-8241(07)72461-1" @default.
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