《Table 19.Recommendation of antihypertensive drugs for elderly hypertensive patients with diabetes m

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《2019 Chinese guideline for the management of hypertension in the elderly》

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ACEI:angiotensin-converting-enzyme inhibitor；ARB:angiotensin receptor blocker；CCB:calcium channel blocker；CKD:chronic kidney disease；e GFR:estimated glomerular filtration rate；UACR:urinary albumin-to-creatinine ratio.

For patients who meet the diagnostic criteria of RH，we should find out the causes of poor BP control，the causes include:（1）inappropriate lifestyle:obesity，excessive drinking and high-salt diet；（2）the use of anti-hypertensive drugs inhibitor:non-steroidal anti-inflammatory drugs，steroids，erythropoietin，ephedrine，liquorice and antidepressants；[161–165]（3）inadequate drug treatment:inadequate dosage，absence of diuretics，inappropriate combination therapy；and（4）other factors:such as insomnia，prostatic hypertrophy（nocturnal urination often affects sleep），chronic pain and longterm anxiety，secondary hypertension.Treatment strategies for elderly patients with resistant hypertension are illustrated in the following Table 20.