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Hypertension in the elderly.

J Coope1

  • 1Medical Centre, Bollington, Macclesfield, Cheshire, UK.

Journal of Hypertension. Supplement : Official Journal of the International Society of Hypertension
|August 1, 1987
PubMed
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Treating hypertension in elderly patients (over 60) significantly reduces stroke risk. Diuretics or beta-blockers are effective and acceptable treatments for sustained high blood pressure (≥170/90 mmHg).

Area of Science:

  • Gerontology
  • Cardiovascular Medicine
  • Clinical Trials

Background:

  • Hypertension is prevalent in individuals over 60.
  • The risks, benefits, and costs of treating hypertension in the elderly require clarification.

Purpose of the Study:

  • To assess the efficacy and safety of antihypertensive treatment in elderly patients.
  • To determine if lowering blood pressure reduces risks associated with hypertension in this age group.

Main Methods:

  • Comparison of results from two major trials: European Working Party on Hypertension in the Elderly (EWPHE) and Hypertension in Elderly Patients (HEP).
  • EWPHE utilized a diuretic and methyldopa in hospital-clinic attenders.
  • HEP employed atenolol and bendrofluazide in primary care screening.

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Main Results:

  • Both trials demonstrated broadly similar findings regarding treatment benefits.
  • Elderly patients with sustained blood pressure ≥170/90 mmHg showed substantial stroke reduction with treatment.
  • Diuretics and beta-blockers, individually or combined, proved acceptable for elderly patients.

Conclusions:

  • Antihypertensive therapy is beneficial for elderly individuals with sustained high blood pressure.
  • Treatment leads to a significant reduction in stroke incidence.
  • Diuretics and beta-blockers are suitable therapeutic options for managing hypertension in the elderly.