Hypertension, Vol 23, 275-285, Copyright © 1994 by American Heart Association
Raised blood pressures in the elderly and the increased prevalence of
hypertension in this population are not benign occurrences and should not
be viewed as a normal or inevitable consequence of aging. In fact, the
relation of systolic and diastolic blood pressures to cardiovascular events
is generally more pronounced in people aged 65 years and older when
compared with those aged 35 to 64. The relative risk of cardiovascular
disease is greater among the elderly at every level of blood pressure.
Furthermore, the absolute likelihood that an older individual will have a
cardiovascular event is substantially greater than for someone younger,
reflecting the increased prevalence of other cardiovascular disease risk
factors in this age group. Thus, equivalent blood pressure reduction is
likely to produce a greater benefit in the elderly than in younger patients
at every level of blood pressure. This report, an update of the 1985
Working Group Report on Hypertension in the Elderly, has two aims: to guide
clinicians in their care of elderly patients with hypertension and to
assist health care professionals participating in high blood pressure
control programs that serve the elderly. The role of lifestyle
modifications--weight loss, dietary sodium restriction, alcohol reduction,
and exercise--as definitive or adjunctive therapy to drug treatment is
discussed. In addition, the report reviews the relative advantages and
disadvantages of the specific classes of antihypertensive medications.
ARTICLES
National High Blood Pressure Education Program Working Group Report on Hypertension in the Elderly. National High Blood Pressure Education Program Working Group
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