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Chapter 14 - Hypertension

from Section III - Care of the Elderly by Organ System

Published online by Cambridge University Press:  30 June 2022

By
Zeke Zamora  and
Jeff Williamson
Edited by
Jan Busby-Whitehead ,
Samuel C. Durso ,
Christine Arenson ,
Rebecca Elon ,
Mary H. Palmer  and
William Reichel
Jan Busby-Whitehead
Affiliation:
University of North Carolina, Chapel Hill
Samuel C. Durso
Affiliation:
The Johns Hopkins University, Maryland
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Rebecca Elon
Affiliation:
The Johns Hopkins University School of Medicine
Mary H. Palmer
Affiliation:
University of North Carolina, Chapel Hill
William Reichel
Affiliation:
Georgetown University Medical Center
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Summary

Hypertension is a major public health concern whose prevalence increases with age and is a major risk factor for disability, cognitive decline, cardiovascular events, and death; yet hypertension is frequently undertreated, and sometimes overtreated, in older adults. Evidence from recent clinical trials indicate treating hypertension to targeted blood pressures of < 130/80 is safe and beneficial in ambulatory older adults free of cognitive impairment. However, because clinical trials have tended to exclude persons with cognitive impairment or poor functional status and nursing home residents, management of hypertension in these groups of older adults remains uncertain and the current guidelines recommend using an individualized approach incorporating clinical judgment and patient values. As with management of other chronic conditions, age alone should not be the only consideration to hypertension treatment goals in this heterogeneous population.

Keywords

hypertensionblood pressureelderlycomorbiditycardiovascular diseasecognitive impairmentfrailty
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 173 - 179
Publisher: Cambridge University Press
Print publication year: 2022

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References

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