August 19, 2020Open Access
Hypertension management in older adults
Structured PICO
P
Population
Older adults with arterial hypertension
I
Intervention
Blood pressure reduction / pharmacotherapy
Blood pressure reduction is effective and safe in older adults, but pharmacotherapy must be individualized due to frailty and polypharmacy.
Abstract
Vascular aging leads to arterial hypertension, which is the leading cause of cardiovascular mortality and morbidity in older adults. Blood pressure reduction is effective in reducing the cardiovascular risk and is safe in ambulatory older adults. It is important to note that blood pressure control in this group of patients is challenging because of comorbidities, polypharmacy, and frailty. Choice of pharmacotherapy is not simple and should be individualized.