Chapter

Treatment of the elderly patient

Pravin Jha and Sandip Dutta

in Hypertension

Published on behalf of Oxford University Press

ISBN: 9780199547579
Published online May 2011 | e-ISBN: 9780199607266 | DOI: http://dx.doi.org/10.1093/med/9780199547579.003.0022

Series: Oxford Cardiology Library

Treatment of the elderly patient

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Hypertension, especially isolated systolic hypertension, is common in the elderly. Detection is important but care must be paid to detail to avoid over diagnosis. Hypertension is a major risk factor for fatal and non-fatal stroke, major coronary events, chronic heart failure, retinopathy, and renal disease. Secondary hypertension is uncommon in the elderly but treatment can unmask renovascular disease. Treatment is worthwhile as even a modest decline in the blood pressure translates into major risk reduction. Non-pharmacological means should be encouraged for everyone. Management can be challenging in view of the incidence of side effects, institution of polypharmacy, and increased prevalence of orthostatic hypotension.

Chapter.  3072 words. 

Subjects: Cardiovascular Medicine

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