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Treating hypertension in the elderly

R W Schrier1

  • 1Department of Medicine, University of Colorado Health Sciences Center, Denver, CO 80262, USA.

The American Journal of Geriatric Cardiology
|October 31, 2001
PubMed

Insights

Hypertension is common in older adults, increasing cardiovascular disease risk. Effective treatment in the elderly requires careful drug selection due to unique health challenges.

Area of Science:

  • Gerontology
  • Cardiology
  • Pharmacology

Background:

  • Hypertension is highly prevalent in the elderly, a rapidly growing demographic.
  • Elevated blood pressure significantly increases cardiovascular disease (CVD) risk in older individuals.
  • Treating hypertension in the elderly is crucial for reducing CVD morbidity and mortality.

Purpose of the Study:

  • To review the challenges and considerations for antihypertensive therapy in elderly patients.
  • To highlight the importance of selecting appropriate medications for this population.

Main Methods:

  • Review of epidemiologic studies on hypertension in the elderly.
  • Analysis of factors complicating antihypertensive treatment in older adults.
  • Discussion of drug characteristics important for geriatric hypertension management.

Main Results:

  • Elderly individuals face unique challenges in hypertension management, including metabolic/physiologic changes, comorbidities, and polypharmacy.
  • Biologic variability necessitates individualized treatment approaches.
  • Specific drug properties are critical for successful hypertension control in this age group.

Conclusions:

  • Antihypertensive therapy in the elderly requires careful consideration of patient-specific factors.
  • Medications with convenient dosing, minimal side effects, and ability to manage comorbidities are preferred.
  • Optimizing hypertension treatment in the elderly is essential for improving cardiovascular outcomes.

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