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Hypertension in the elderly.

R A Davidson1

  • 1Division of General Medicine, University of Florida College of Medicine, Gainesville.

The Medical Clinics of North America
|November 1, 1989
PubMed
Summary
This summary is machine-generated.

Treating diastolic hypertension in elderly patients significantly reduces stroke risk. While other benefits like reduced heart disease are less evident in older adults, controlling blood pressure is still advisable, prioritizing non-drug methods first.

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Area of Science:

  • Geriatrics
  • Cardiovascular Medicine
  • Public Health

Background:

  • Diastolic hypertension is prevalent in the elderly population.
  • The benefits of treating hypertension in older adults require careful consideration.
  • Stroke is a significant concern for elderly individuals with hypertension.

Purpose of the Study:

  • To evaluate the effectiveness of treating diastolic hypertension in the elderly.
  • To assess the impact of blood pressure reduction on various health outcomes in older patients.
  • To provide evidence-based recommendations for managing hypertension in the geriatric population.

Main Methods:

  • Review of current best evidence regarding hypertension treatment in the elderly.
  • Analysis of studies comparing outcomes in treated versus untreated hypertensive elderly patients.

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  • Consideration of non-pharmacologic and pharmacologic treatment approaches.

    • Main Results:

    • Treatment of diastolic hypertension in the elderly significantly decreases the risk of stroke.
    • Evidence for decreased risk of coronary disease, congestive heart failure, renal insufficiency, or total mortality is less robust in the elderly compared to younger populations.
    • Elderly patients may not be more susceptible to antihypertensive medication side effects than younger individuals.

    Conclusions:

    • Reducing blood pressure in hypertensive older patients is beneficial, primarily for stroke prevention.
    • Non-pharmacologic interventions should be considered before initiating drug therapy.
    • A stepped-care approach, considering demographic factors, can effectively manage elevated blood pressure in this population.