Related Experiment Video
Updated: Jul 20, 2026
05:51
Measuring the Carotid to Femoral Pulse Wave Velocity (Cf-PWV) to Evaluate Arterial Stiffness
Published on: May 3, 2018
[Blood pressure control in eldery hypertension].
1Department of Second Internal Medicine, Sapporo Medical University School of Medicine.
Nihon Rinsho. Japanese Journal of Clinical Medicine
|January 18, 2006
Summary
Elderly patients with type 2 diabetes and hypertension should aim for a blood pressure below 130/80 mmHg. Angiotensin-converting enzyme inhibitors or calcium channel blockers are recommended first-line treatments due to their insulin-sensitizing effects.
Area of Science:
- Geriatric Medicine
- Cardiology
- Endocrinology
Context:
- Essential hypertension frequently coexists with type 2 diabetes mellitus (NIDDM) in elderly individuals.
- Current guidelines recommend a stricter blood pressure target (<130/80 mmHg) for hypertensive patients with diabetes mellitus.
- However, a less stringent target (<140/90 mmHg) is often recommended for the elderly population.
Purpose:
- To address the therapeutic target blood pressure for elderly hypertensive patients with diabetes mellitus.
- To evaluate the optimal pharmacological approach for managing hypertension in this specific patient group.
Summary:
- Type 2 diabetes mellitus (NIDDM) is common in elderly patients with essential hypertension.
- The recommended blood pressure target for hypertensive individuals with diabetes mellitus is <130/80 mmHg, aligning with recommendations for younger populations.
- ACE inhibitors/ARBs or calcium channel blockers are suggested as first-line agents due to their beneficial effects on insulin sensitivity.
Impact:
- This approach ensures that elderly hypertensive patients with diabetes receive optimal blood pressure management, potentially reducing cardiovascular and microvascular complications.
- Highlights the importance of considering diabetes status when setting blood pressure targets in the elderly.
- Promotes the use of specific antihypertensive drug classes that offer metabolic benefits in diabetic patients.
More Related Videos
Related Concept Videos
01:30Blood Pressure
Blood pressure (BP) is the pressure or force of blood exerted on the artery's walls as it circulates through the body. It is essential for maintaining blood flow throughout the body.
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the diastolic...
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the diastolic...
01:18Hypertension and Regulation of Blood Pressure
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
01:24Blood Pressure
The movement of blood in a human body, commonly referred to as blood flow, is determined by the volume of blood that traverses a certain section of the bodily system per unit time. It is the rhythmic contraction of the heart's ventricles that primarily instigates this movement. As the ventricles contract, blood is forced into the prominent arteries, which then flow from areas of greater pressure to lower pressure areas. This movement continues into smaller arteries and arterioles and...
01:28Hypertension I: Introduction
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
01:28Hypertension IV: Drug Therapy and Lifestyle Modifications
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
01:23Hypertension V: Nursing Management
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.