Gary Jennings  澳大利亚墨尔本贝克IDI心脏与糖尿病研究中心
    <International Circulation>: We know that elderly patients often have a higher systolic pressure， lower diastolic pressure， and an enlarged pulse pressure. What is your approach for treating hypertension in the elderly?

  《国际循环》：我们知道，老年患者往往收缩压较高，舒张压较低，脉压差增大。您治疗这种老年高血压采用什么方法呢？ 

    Prof. Jennings: We now have a major outcome study in people over the age of 80 showing that lowering blood pressure is beneficial. Therefore， there is no question that lowering blood pressure in those patients is a good thing. The question of targets is mostly unresolved at the present time. In the HYVET study， was not brought down to anything like the 140/85 mm/Hg that we are recommending as a target and that must be explored. My clinical view is that most elderly people tolerate having their blood pressure lowered very well and there is no question in my mind that most people would prefer not to have a stroke before they pass away. Therefore， reasonable treatment of hypertension， taking into account the lower tolerability in older people of antihypertensive drugs， is the right thing to do.

    Jennings教授：我们的一个关于80岁以上老年患者的主要研究结果显示：降低血压是有益的。因此，毫无疑问，对那些患者降压治疗是一件好事。有关降压目标的问题目前还没有得到解决。通常我们建议把140/85mmHg作为目标，但在HYVET研究中，并没有得出这样的结论，必须进一步探讨。我的临床观点是，大多数老年患者能够很好地耐受血压下降，在我的印象中，毫无疑问，大多数患者都不愿意发生中风。因此，高血压的合理治疗——正确的做法是应考虑到老年人对降压药物的低耐受性。