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Isolated systolic hypertension in the elderly. Some controversial issues
JAMA
|February 12, 1982
Summary
Systolic hypertension in the elderly increases mortality risk. Cautious, low-dose antihypertensive drug treatment is well-tolerated and can reduce diagnosis of this condition.
Area of Science:
- Geriatric Medicine
- Cardiovascular Health
- Pharmacology
Background:
- Systolic hypertension in the elderly is under-researched but linked to increased mortality and morbidity.
- The precise cause of increased risk (elevated blood pressure vs. arteriosclerosis) remains unclear.
Purpose of the Study:
- To review the implications of systolic hypertension in the elderly.
- To assess the tolerability and potential benefits of antihypertensive treatment in this population.
Main Methods:
- Review of existing literature on systolic hypertension in the elderly.
- Analysis of treatment outcomes and drug tolerability.
Main Results:
- No controlled trials confirm reduced morbidity and mortality with treatment.
- Reduction in systolic blood pressure can decrease diagnosis of systolic hypertension.
- Elderly patients generally tolerate antihypertensive medications well with cautious, low-dose administration.
Conclusions:
- Systolic hypertension in the elderly warrants attention due to associated risks.
- Cautious pharmacological management is feasible and may help manage the condition.