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Related Experiment Videos

Hypertension in the Elderly.

Robert L. Bloomfield1, Serguei V. Novikov, Carlos M. Ferrario

  • 1The Hypertension Center, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, NC.

The American Journal of Geriatric Cardiology
|July 1, 1994
PubMed
Summary
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This review details high blood pressure in older adults, covering its causes, treatment trials, and management strategies. It emphasizes non-drug and drug therapies, including neurological factors and medication selection for elderly hypertension.

Area of Science:

  • Gerontology
  • Cardiovascular Medicine
  • Clinical Pharmacology

Background:

  • Elevated blood pressure is a significant health concern in the elderly population.
  • Specific conditions like isolated systolic hypertension and pseudo-hypertension require distinct consideration.
  • Understanding the pathophysiology is crucial for effective management.

Purpose of the Study:

  • To review the pathophysiology of elevated blood pressure in the elderly.
  • To discuss major treatment trials and management strategies.
  • To explore neurologic aspects and medication choices for hypertension in older adults.

Main Methods:

  • Comprehensive literature review of pathophysiology and treatment.
  • Analysis of key clinical trials in elderly hypertension.

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  • Discussion of nonpharmacologic and pharmacologic interventions.

    • Main Results:

    • Isolated systolic hypertension and pseudo-hypertension are prevalent in the elderly.
    • Both nonpharmacologic and pharmacologic treatments show efficacy.
    • Neurologic factors play a role in hypertension management in this demographic.

    Conclusions:

    • Effective management of hypertension in the elderly requires a multifaceted approach.
    • Consideration of neurologic aspects and specific medication choices is vital.
    • Further research into tailored treatment strategies is warranted.