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Related Experiment Videos

Protocol: isolated systolic hypertension in the elderly.

B A Armstrong

    The Nurse Practitioner
    |June 1, 1987
    PubMed
    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.

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    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.

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