Related Experiment Video

Updated: Jul 19, 2026

Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
08:35

Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion

Published on: May 26, 2022

[Control of hypertension in elderly patients admitted in internal medicine]

S Cinza Sanjurjo1, A Cabarcos Ortiz de Barrón, E Nieto Pol

  • 1Servicio de Atención Primaria Concepción Arenal, Hospital Clínico Universitario, Santiago de Compostela, A Coruña. sergiocinza@mundo-r.com

Anales De Medicina Interna (Madrid, Spain : 1984)
|October 28, 2006
PubMed

Insights

Hypertension control was not optimal in half of elderly patients, with diabetes being a key factor in poor blood pressure management. Diuretics were the most common treatment for hypertension in this population.

Area of Science:

  • Geriatric Medicine
  • Cardiology
  • Internal Medicine

Context:

  • Hypertension is a prevalent condition in elderly populations.
  • Effective blood pressure management is crucial for reducing cardiovascular risk in older adults.
  • Understanding factors associated with poor hypertension control is essential for improving patient outcomes.

Purpose:

  • To investigate hypertension control in elderly patients.
  • To identify cardiovascular risk factors and diseases linked to uncontrolled hypertension.
  • To evaluate pharmacologic treatments for optimal hypertension management in the elderly.

Summary:

  • A cross-sectional study analyzed 484 elderly hypertensive patients.
  • Optimal blood pressure control ( <140/90 mmHg or <130/80 mmHg for diabetics) was achieved in 53.9% of patients.
  • Isolated systolic hypertension was more prevalent in poorly controlled groups; 77% had other cardiovascular risk factors, and 69% had existing cardiovascular diseases.

Impact:

  • Only about half of elderly hypertensive patients achieved optimal blood pressure control.
  • Diabetes emerged as the most significant factor associated with poor hypertension control.
  • Diuretics were the most frequently prescribed pharmacologic agents for hypertension treatment.
Abstract

Related Concept Videos

Hypertension V: Nursing Management01:23

Hypertension 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.
Hypertension and Regulation of Blood Pressure01:18

Hypertension 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...
Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

Hypertension 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...
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.