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Isolated systolic hypertension in the elderly. Some controversial issues

R W Gifford

    JAMA
    |February 12, 1982
    PubMed

    Insights

    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.

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