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[Systemic arterial hypertension in the elderly. Recommendations for clinical practice]
Martín Rosas-Peralta1, Gabriela Borrayo-Sánchez, Alejandra Madrid-Miller
1División de Investigación en Salud, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México. mrosas_peralta@hotmail.com.
Revista Medica Del Instituto Mexicano Del Seguro Social
|June 11, 2016
Summary
Hypertension management in older adults is crucial. The consensus suggests a blood pressure goal below 140/90 mm Hg for the elderly, with diuretics and calcium antagonists being effective treatments.
Area of Science:
- Geriatrics
- Cardiology
- Nephrology
Background:
- Hypertension is prevalent in individuals aged 65 and older.
- Blood pressure control is poorer in those aged 70+ compared to 60-69 year olds.
- Limited trials exist for the elderly, impacting strong blood pressure (BP) goal recommendations.
Purpose of the Study:
- To review the American College of Cardiology's consensus report on hypertension management in the elderly.
- To examine novel findings on BP goals and nephropathy progression in older adults.
Main Methods:
- Review of a consensus report on hypertension in the elderly.
- Analysis of specific studies on BP goals and kidney disease progression.
Main Results:
- Evidence supports a BP goal < 150/80 mm Hg for the elderly.
- A target of < 140/90 mm Hg is recommended, with a range of 140-145 mm Hg if tolerated.
- Diuretics and calcium antagonists are efficient, but most patients need multiple medications.
Conclusions:
- The recommended BP goal for the elderly is < 140/90 mm Hg.
- Treatment often requires a combination of antihypertensive medications.
- Further research is needed for those aged 80 and older.
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