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[Management of arterial hypertension in the elderly]

P Xhignesse, A Saint-Remy, J M Krzesinski

    Revue Medicale De Liege
    |July 29, 2014
    PubMed

    Insights

    High blood pressure is common in older adults, posing health risks and economic burdens. Effective treatments, including medication and lifestyle changes, can significantly reduce mortality and cardiovascular events in this population.

    Area of Science:

    • Geriatrics
    • Cardiology
    • Public Health

    Context:

    • Hypertension is highly prevalent in the elderly population.
    • Arterial stiffness contributes to systolic hypertension in older individuals.
    • Elevated blood pressure in the elderly presents significant health threats and economic costs.

    Purpose:

    • To review the management of hypertension in elderly patients.
    • To highlight the benefits of antihypertensive therapy in reducing mortality.
    • To provide guidance on blood pressure targets and treatment strategies for older adults.

    Summary:

    • Antihypertensive therapy effectively reduces cardiovascular and total mortality in the elderly.
    • Non-pharmacological approaches are beneficial but should not be overly restrictive.
    • Recommended blood pressure target for individuals over 65 is 150/80 mmHg, with measurement in the upright position.

    Impact:

    • Improved management of hypertension in the elderly can lead to better health outcomes.
    • Reduced cardiovascular morbi-mortality and total mortality in older hypertensive patients.
    • Potential for significant cost savings in healthcare systems through effective hypertension management.

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