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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
PubMed

Insights

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.

Keywords:
ElderlyHypertension

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