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Management instructions for elderly patients with hypertension.
Yoshiyuki Ikeda1, Takeshi Sasaki2, So Kuwahata3
1Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.
Summary
Elderly patients aged 75 and older with hypertension often lack understanding of their condition and treatment. Improved patient education and daily blood pressure monitoring are crucial for managing hypertension in older adults.
Area of Science:
- Gerontology
- Cardiology
- Internal Medicine
Background:
- Hypertension management in elderly Japanese patients requires understanding of patient comprehension.
- Blood pressure (BP) targets are defined by the 2014 Japanese guidelines.
Purpose of the Study:
- To compare the understanding of hypertension and its treatment between Japanese patients under 75 years and those 75 years and older.
- To assess patient comprehension of blood pressure targets and physician explanations.
Main Methods:
- A 10-question survey was administered to assess patient knowledge.
- Surveys were conducted before and after antihypertensive treatment.
Main Results:
- A majority of patients aged 75 and older (75%) did not achieve their blood pressure targets.
- Over 50% of elderly patients demonstrated limited knowledge of hypertension and poor understanding of their physician's explanations.
Conclusions:
- Elderly patients (≥75 years) with hypertension necessitate daily blood pressure monitoring.
- Detailed and repeated explanations regarding hypertension and blood pressure targets are essential for older adults.
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