How To Treat Hypertension In The Elderly

These drugs can be considered as f. If youre aged 55 or older or youre any age and of African or Caribbean origin youll usually be offered a calcium channel blocker You may need to take blood pressure medicine for the rest of your life.

Cardiology First Line In Hypertension

To ensure successful treatment of hypertension monthly follow-up should be added into the routine until a blood pressure goal is reached.

How to treat hypertension in the elderly. The decision on when and how to treat hypertension must be carefully evaluated and individualized. In 2013 the guidelines started to be implemented into practice. The guideline recommends that pharmacologic treatment should be offered to all older patients with an SBP of 160 mmHg.

The 2018 European Society of CardiologyEuropean Society of Hypertension ESCESH BP guideline categorizes older adults in two subgroups. The following changes can be enough for some seniors to put their hypertension under control. 84 Moreover the indications for percutaneous or surgical interventions in case of renovascular hypertension should be judiciously considered.

How do I treat hypertension in the elderly. Management of Hypertension in the Elderly. Hypertension is the leading modifiable risk factor for cardiovascular events and mortality in the world Hypertension is a major risk factor for cardiovascular events and mortality in the elderly Hypertension is present in 69 of persons with a first myocardial infarction in 77 of persons with a first stroke in 74 of persons with congestive heart failure and.

The goal of sodium restriction was 18g24h and the goal for weight reduction was 10 pounds. After that a regular visit at the doctors office every three to four months can ensure an appropriate blood pressure monitoring and the stable blood pressure in older. This should be the first step before we resort to drugs.

Thiazide diuretics and dihydropyridine calcium-channel blockers are the primary compounds used in randomized clinical trials. However modifying the goal of blood pressure reduction as noted above can help avoid the side effects. Because of high risk of adverse effects the pharmacological treatment of hypertension in the elderly should be started with lower doses of blood pressure-lowering agents and treatment intensification should be careful.

Hypertension Therapy in Older People As with anyone else with hypertension the first step in treating high blood pressure in older people is to institute the lifestyle changes that can reduce your blood pressure including weight loss salt restriction exercise and smoking cessation. The basic principle is that hypertension should be treated the same way in the elderly as in the younger. Diagnosis The limits of blood pressure for the diagnosis of arterial hypertension are the same in the elderly.

In the Trial of Non-pharmacologic Interventions in the Elderly TONE the combination of weight loss and sodium restriction showed a drop of 5312 mmHg in the systolic BP and 3408 mmHg diastolic BP in obese elderly hypertensive patients. Emphasis should be on the patient treating the elderly patient with hypertension rather than the hypertension in the elderly patient. We can treat moderately elevated blood pressure levels prehypertension in the elderly by making simple lifestyle changes.

However there are some special features. Antihypertensive treatment of isolated systolic hypertension significantly reduces the risk of morbidity and mortality in elderly patients. To support physicians in everyday care of elderly patients with hypertension new guidelines were issued in Poland at the end of 2012.

Elderly refers to patients between the ages of 65 and 79 years while very old refers to those 80 years Table 1. When treating the elderly for hypertension it is also necessary to consider the other medical conditions that they may have. The prevalence of hypertension is rising with age and current evidence shows that the majority of elderly patients benefit from proper antihypertensive therapy.

The guidelines on hypertension management were developed by 3 medical societies and specialists from different medical fields. Currently the therapeutic strategy for a renovascular hypertension is to begin with a standard medical treatment as in essential hypertension and consider endoluminal or other interventions only after failure of the medical treatment. How to treat hypertension in the elderlySchedule your appointment now for safe in-person care.

Some of these conditions may make the patients more prone to side effects from the medications. Treatment of systolic hypertension in the elderly should be based on nonpharmacological measures and medical therapy if the systolic hypertension cannot be controlled by conservative therapy alone.

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