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Hypertension management in older adults
Ozlem Bilen1, Nanette K Wenger1,2,3
1Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
F1000Research
|August 28, 2020
Summary
Vascular aging causes hypertension in older adults, increasing cardiovascular risks. Blood pressure reduction is safe and effective, but treatment requires individualized pharmacotherapy due to patient complexities.
Area of Science:
- Gerontology
- Cardiovascular Medicine
- Pharmacology
Background:
- Vascular aging is a primary driver of arterial hypertension in older adults.
- Hypertension is the leading cause of cardiovascular mortality and morbidity in this demographic.
- Blood pressure reduction strategies are proven to mitigate cardiovascular risk in ambulatory older adults.
Purpose of the Study:
- To highlight the challenges in managing hypertension in older adults.
- To emphasize the need for individualized pharmacotherapy selection.
- To underscore the safety and efficacy of blood pressure reduction in this population.
Main Methods:
- Review of current literature on vascular aging and hypertension management in older adults.
- Analysis of factors complicating blood pressure control, including comorbidities, polypharmacy, and frailty.
- Discussion of pharmacotherapeutic options and individualized treatment approaches.
Main Results:
- Arterial hypertension associated with vascular aging poses significant health risks to older adults.
- Blood pressure management is crucial for reducing cardiovascular outcomes in this age group.
- Effective blood pressure control is often complicated by multiple health issues and medications.
Conclusions:
- Individualized pharmacotherapy is essential for managing hypertension in older adults.
- Addressing comorbidities, polypharmacy, and frailty is key to successful blood pressure control.
- Optimizing treatment strategies can improve cardiovascular health and reduce mortality in aging populations.
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