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September 1, 2009Clinical Interventions in AgingOpen Access

Management of hypertension in the elderly patient

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Why the study?

What is the optimal management strategy for hypertension in elderly patients?

Population

Elderly patients with hypertension

Design

Review

Authors

GSGordon S. StokesUniversity of California, San Diego

Discussion

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Implication

Supports no age cutoff with thiazides first-line in elderly hypertension; leaves open prospective validation.

Structured PICO

What is the optimal management strategy for hypertension in elderly patients?

P
Population
Elderly patients with hypertension
I
Intervention
Antihypertensive therapy including lifestyle measures, thiazide diuretics (first-line), angiotensin inhibitors, and calcium channel blockers
O
Outcome
Prevention of stroke

In elderly patients, hypertension treatment should not have an age cut-off, with thiazide diuretics as first-line therapy and beta blockers generally avoided.

Cite This Study

Gordon S. Stokes (2009) studied this question.

synapsesocial.com/papers/6a70e3b9febe604dd709a7bahttps://doi.org/10.2147/cia.s5242

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Are β-Blockers Efficacious as First-line Therapy for Hypertension in the Elderly?1998 · 561 citations
  2. 2Treatment of Hypertension in Patients 80 Years of Age or Older2008 · 3,113 citations
  3. 3Self-reported Hypertension Treatment Practices Among Primary Care Physicians2000 · 361 citations
  4. 4Independent impact of obesity and fat distribution in hypertension prevalence and control in the elderly2008 · 53 citations
  5. 5Time Spent Moving Is Related to Systolic Blood Pressure Among Older Women2005 · 14 citations