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Hypertension in elders. Clinical diagnosis and treatment considerations
Journal of Gerontological Nursing
|December 1, 1991
Summary
Isolated systolic hypertension (ISH) is common in older adults and can be treated with medication. However, evidence for reducing long-term risks is limited, requiring individualized treatment plans.
Area of Science:
- Gerontology
- Cardiovascular Medicine
- Pharmacology
Background:
- Isolated systolic hypertension (ISH) affects over 50% of individuals aged 65 and older.
- ISH is associated with increased risks of illness and death.
Purpose of the Study:
- To review the treatment of ISH in the elderly population.
- To highlight the need for individualized treatment strategies.
Main Methods:
- Literature review of studies on ISH treatment in older adults.
- Analysis of the benefits and risks of antihypertensive medications.
Main Results:
- Antihypertensive medications are effective in lowering ISH.
- Limited evidence exists on the long-term benefits of ISH treatment on morbidity and mortality in diverse elderly populations.
Conclusions:
- Treatment decisions for ISH in the elderly require balancing the risks of the condition against potential treatment side effects and impact on quality of life.
- Individualized care planning is essential for managing ISH in older adults.