Arterial Hypertension in Patients of Older Age Groups: Clinical and Pathogenetic Features, Choice of Optimal Hypotensive Therapy

Arterial hypertension is one of the main risk factors for the development of complications of diseases of the cardiovascular system, the prevalence of which increases with age. The mechanisms of increasing blood pressure in old age are different, the most significant of them is an increase in the stiffness of the artery wall. Isolated systolic arterial hypertension holds a distinct place in elderly and senile patients. The treatment of hypertension in patients of older age groups is much more difficult than in young and middleaged patients, due to the more frequent development of side effects of antihypertensive therapy, as well as the lack of sufficient studies conducted in this category of patients.