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[Hypertension in older adults]

C Sierra1

  • 1Unidad de Hipertensión Arterial y Riesgo Vascular, Sección de Geriatría/Hospital de Día para el Paciente Crónico Complejo, Servicio de Medicina Interna, Hospital Clínic de Barcelona, IDIBAPS, Universidad de Barcelona, Barcelona, España.

Hipertension Y Riesgo Vascular
|June 18, 2018
PubMed

Insights

Treating high blood pressure (hypertension) in older adults significantly reduces cardiovascular risks. Individualized treatment plans are crucial, considering patient health and life expectancy.

Area of Science:

  • Geriatrics
  • Cardiology
  • Pharmacology

Background:

  • Systolic hypertension is prevalent in over 68% of the elderly.
  • Elderly hypertensive patients present unique challenges including altered pharmacokinetics, comorbidities, and polypharmacy.

Purpose of the Study:

  • To review the benefits and considerations of antihypertensive treatment in the elderly population.
  • To discuss blood pressure targets and treatment initiation in older adults.

Main Methods:

  • Review of available evidence on antihypertensive treatment in individuals aged over 80 years.
  • Discussion of factors influencing treatment decisions in elderly patients.

Main Results:

  • Antihypertensive treatment in individuals over 80 years appears to reduce cardiovascular morbidity and mortality.
  • Individualized treatment is recommended, assessing quality of life, life expectancy, and cardiovascular risk.

Conclusions:

  • Antihypertensive therapy is beneficial for elderly individuals, reducing cardiovascular events.
  • Treatment decisions and targets should be individualized based on patient-specific factors and guidelines.

Keywords:
AncianoArterial hypertensionElderlyElevación de la presión arterialElevation of blood pressureFragilidadFrailtyHipertensión arterial

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