Why the study?
How should hypertension be managed in elderly patients with comorbidities and aging-related changes?
How should hypertension be managed in elderly patients with comorbidities and aging-related changes?
Managing hypertension in the elderly requires careful consideration of comorbidities, aging-related changes, and potential adverse effects like orthostatic hypotension.
Supports cautious individualized care in elderly hypertension with comorbidities; leaves open optimal protocols for prospective validation.
Data from randomized controlled trials suggest that treating hypertension in the elderly, including octogenarians, may substantially reduce the risk of cardiovascular disease and death. However, treatment remains challenging because of comorbidities and aging-related changes. We present common case scenarios encountered while managing elderly patients with hypertension, including secondary hypertension, adverse effects of drugs, labile hypertension, orthostatic hypotension, and dementia.
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Chaudhry et al. (2012) studied this question.
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