Elderly patients hospitalized for acute heart failure. The case whereas lower blood pressure is always worst!

Elderly patients hospitalized for acute heart failure.The case whereas lower blood pressure is always worst! Elderly people represent the most « hypertensive » population -with a prevalence of HTN over 80 yrs > 75%-, the most growing population À5% of the population in 2015 and 10% in 2040 will be over 80 yrs-and the most heterogeneous population-with many comorbidities such as renal impairment, atherosclerotic vascular disease, heart failure with preserved ejection fraction and postural hypotension, which may be worsened by BPlowering drugs.According to the recent ESC/ESH hypertension guidelines, age alone must never be a barrier to treatment because high BP is an important risk factor even at the most advanced ages but frailty should also be considered in the management of hypertension in the elderly. 1 Acute heart failure (AHF) is the primary cause for hospitalization among patients aged over 65 years old.The majority of them are hypertensives while less than 8% are presented with hypotension and only 1-2% with cardiogenic shock.The clinical profiles of these patients differ from those of younger patients entailing a significantly increased risk of mortality and hospital admission.2,3 Diabetes mellitus, chronic kidney disease, sleep apnea, anemia, depression, anxiety and dementia represent the main non-cardiac