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Hypertension in the elderly

C E McCoy1

  • 1Brown University School of Medicine, Providence, Rhode Island.

Rhode Island Medicine
|May 1, 1993
PubMed
Summary
This summary is machine-generated.

Treating hypertension in elderly patients effectively reduces cardiovascular disease. This includes patients with systolic, diastolic, or isolated systolic hypertension, showing the importance of managing high blood pressure in older adults.

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Area of Science:

  • Gerontology
  • Cardiovascular Medicine
  • Pharmacology

Background:

  • Hypertension and its cardiovascular consequences are significant health concerns in the elderly population.
  • In older adults, hypertension involves increased peripheral vascular resistance and reduced arterial compliance, leading to elevated systolic and variable diastolic pressures.

Purpose of the Study:

  • To summarize the evidence supporting the treatment of hypertension in the elderly.
  • To discuss the implications of recent large placebo-controlled trials on cardiovascular disease reduction in this demographic.

Main Methods:

  • Review of several large, placebo-controlled clinical trials.
  • Analysis of treatment outcomes for various hypertension subtypes in elderly patients.

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Main Results:

  • Treatment of hypertension in elderly patients has been demonstrated to reduce cardiovascular disease.
  • This benefit is observed across patients with systolic and diastolic hypertension, as well as isolated systolic hypertension.

Conclusions:

  • Evidence supports the reduction of cardiovascular end points through hypertension treatment in the elderly.
  • While thiazide diuretics and beta-blockers have shown efficacy, other medication classes may be considered for initial treatment in select elderly patients.