Key result
Pharmacologic management of hypertension in older adults involves various drug classes and requires special considerations for safe participation in rehabilitation.
This review highlights the importance of hypertension management in older adults and the need for rehabilitation professionals to be aware of medication-related considerations.
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Rehab professionals may need to factor in antihypertensive effects for older adults; leaves open prospective trials on class-specific safety during therapy.
Hypertension affects as many as 50 million Americans and is a significant risk factor for cerebrovascular disease, cardiovascular disease, renal disease, and mortality. The older population has the highest prevalence of hypertension but responds well to hypertension management, including lifestyle modification and pharmacologic therapy. Pharmacologic management includes the use of angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, beta-adrenoreceptor blockers, calcium channel blockers, diuretic agents, vasodilator agents, peripheral alpha-blockers, and central alpha-agonists. Special considerations for older adults on antihypertensive medications exist. Rehabilitation professionals ensure safe patient participation in rehabilitation by being cognizant of these considerations.
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Laucka et al. (2001) conducted a review in Hypertension. Antihypertensive medications was evaluated. Pharmacologic management of hypertension in older adults involves various drug classes and requires special considerations for safe participation in rehabilitation.
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