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Protocol: isolated systolic hypertension in the elderly
The Nurse Practitioner
|June 1, 1987
Summary
Isolated systolic hypertension is a common condition in older adults, previously overlooked as normal aging. This review covers its assessment, management, and the role of nurse practitioners in primary care.
Area of Science:
- Gerontology
- Cardiovascular Medicine
- Primary Care Nursing
Background:
- Isolated systolic hypertension (ISH) is prevalent in the elderly.
- Historically, ISH was considered a normal aspect of aging.
- Recent recognition of ISH as a distinct pathophysiologic process.
Purpose of the Study:
- To provide a comprehensive overview of ISH in the elderly.
- To guide assessment, differentiation from other hypertension types, and management strategies.
- To highlight the role of nurse practitioners in managing ISH.
Main Methods:
- Review of current literature on ISH.
- Discussion of diagnostic criteria and differential diagnoses (essential vs. secondary hypertension).
- Outline of non-pharmacologic and pharmacologic treatment options, considering age-related factors.
Main Results:
- ISH requires specific assessment and management distinct from normal aging.
- Non-pharmacologic therapy is the preferred initial treatment.
- Pharmacologic therapy requires careful consideration of the aging patient's physiology.
Conclusions:
- ISH is a significant clinical issue in the aging population.
- Accurate diagnosis and effective management are achievable.
- Nurse practitioners are well-positioned to diagnose and manage ISH in primary care settings.