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Hypertension in older adults

Hypertension in older adults

About Home Care Complete arults to Hypertension in older adults care Best Hypertejsion Home Care Winners. Recent guidelines propose taking functional Olded into account Sports nutrition advice targeting blood pressure in older people. TK, Miller DK, Morley JE. CT polymorphism of the G protein beta 3 -subunit and antihypertensive response to a thiazide diuretic. Prevalence and risk factors of frailty in a community-dwelling population: the HELIAD Study. Blauth FG, Vilar LADS, Pontes VCB, Moriguti JC, Ferriolli E, Lima NKDC.

Hypertension in older adults -

The recent findings mean older people should work with their physicians to bring their systolic blood pressure below mm Hg. For example, someone with a systolic blood pressure of mm Hg almost always needs at least two medications.

Using lower doses of two different blood pressure medications is more effective than maximizing the dose of a single drug. The combination approach is also less likely to cause side effects.

Moreover, many combinations are available as single pills, which is as easy for patients as taking just one drug. Julie Corliss , Executive Editor, Harvard Heart Letter.

As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

An alarming one in three American adults has high blood pressure. Known medically as hypertension, many people don't even know they have it, because high blood pressure has no symptoms or warning signs. But when elevated blood pressure is accompanied by abnormal cholesterol and blood sugar levels, the damage to your arteries, kidneys, and heart accelerates exponentially.

Fortunately, high blood pressure is easy to detect and treat. In the Special Health Report, Controlling Your Blood Pressure , find out how to keep blood pressure in a healthy range simply by making lifestyle changes, such as losing weight, increasing activity, and eating more healthfully.

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Stay on top of latest health news from Harvard Medical School. Recent Blog Articles. Flowers, chocolates, organ donation — are you in? Your blood pressure shouldn't drop more than 20 mmHg, and you shouldn't feel dizzy after standing up.

However, be careful when moving to the orthostatic position after lying down in bed particularly during the night, after long periods of illness, fever, low hydration to avoid harmful drops in blood pressure values. If your blood pressure is high, you can encounter some difficulties in managing this condition.

In this case you will probably be prescribed a monotherapy as a first-line strategy. As we age, it is possible that the drugs you have taken for many years are no longer suitable or work for you.

Talk to your doctor about modifying your medications. Introduction Hypertension is frequently found in patients aged 65 or older and represents a risk factor for various cardiovascular diseases such as heart failure, atrial fibrillation, stroke, kidney diseases and dementia.

Risks and threats in treating hypertension in the elderly: polypathology, polytreatments, reduced compliance, special conditions, frailty A major concern when treating older patients with antihypertensive drugs should be hypotension, particularly orthostatic hypotension and post-prandial hypotension.

Figure 2. EFT: essential frailty toolset; MPI: multidimensional prognostic index Blood pressure targets in the elderly: individualised treatments Although the treatment of hypertension in the elderly is undoubtedly a main goal for cardiovascular prevention to reduce both morbidity and mortality, blood pressure targets in hypertensive older patients are not fully defined [1,8,9].

Adherence to treatments: specific issues A critical point in treating patients with hypertension is adherence and persistence to treatment.

Conclusions Hypertension in the elderly should be treated to reduce morbidity and mortality. References Guasti L, Ambrosetti M, Ferrari M, Marino F, Ferrini M, Sudano I, Tanda ML, Parrini I, Asteggiano R, Cosentino M.

Management of Hypertension in the Elderly and Frail Patient. Drugs Aging. Morley JE, Vellas B, van Kan GA, Anker SD, Bauer JM, Bernabei R, Cesari M, Chumlea WC, Doehner W, Evans J, Fried LP, Guralnik JM, Katz PR, Malmstrom TK, McCarter RJ, Gutierrez Robledo LM, Rockwood K, von Haehling S, Vandewoude MF, Walston J.

Frailty consensus: a call to action. J Am Med Dir Assoc. Rodríguez-Mañas L, Féart C, Mann G, Viña J, Chatterji S, Chodzko-Zajko W, Gonzalez-Colaço Harmand M, Bergman H, Carcaillon L, Nicholson C, Scuteri A, Sinclair A, Pelaez M, Van der Cammen T, Beland F, Bickenbach J, Delamarche P, Ferrucci L, Fried LP, Gutiérrez-Robledo LM, Rockwood K, Rodríguez Artalejo F, Serviddio G, Vega E; FOD-CC group Appendix 1.

Searching for an Operational Definition of Frailty: A Delphi Method Based Consensus Statement. The Frailty Operative Definition-Consensus Conference Project.

J Gerontol A Biol Sci Med Sci. Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K. Frailty in elderly people. Hoogendijk EO, Afilalo J, Ensrud KE, Kowal P, Onder G, Fried LP. Frailty: implications for clinical practice and public health. Richter D, Guasti L, Walker D, Lambrinou E, Lionis C, Abreu A, Savelieva I, Fumagalli S, Bo M, Rocca B, Jensen MT, Pierard L, Sudano I, Aboyans V, Asteggiano R.

Frailty in cardiology: definition, assessment and clinical implications for general cardiology. A consensus document of the Council for Cardiology Practice CCP , Association for Acute Cardio Vascular Care ACVC , Association of Cardiovascular Nursing and Allied Professions ACNAP , European Association of Preventive Cardiology EAPC , European Heart Rhythm Association EHRA , Council on Valvular Heart Diseases VHD , Council on Hypertension CHT , Council of Cardio-Oncology CCO , Working Group WG Aorta and Peripheral Vascular Diseases, WG e-Cardiology, WG Thrombosis, of the European Society of Cardiology, European Primary Care Cardiology Society EPCCS.

Eur J Prev Cardiol. Vaes B, Depoortere D, Van Pottelbergh G, Matheï C, Neto J, Degryse J. Association between traditional cardiovascular risk factors and mortality in the oldest old: untangling the role of frailty.

BMC Geriatr. Garrison SR, Kolber MR, Korownyk CS, McCracken RK, Heran BS, Allan GM. Blood pressure targets for hypertension in older adults. Cochrane Database Syst Rev. Rivasi G, Tortù V, D'Andria MF, Turrin G, Ceolin L, Rafanelli M, Mossello E, Ungar A.

Hypertension management in frail older adults: a gap in evidence. J Hypertens. Pajewski NM, Williamson JD, Applegate WB, Berlowitz DR, Bolin LP, Chertow GM, Krousel-Wood MA, Lopez-Barrera N, Powell JR, Roumie CL, Still C, Sink KM, Tang R, Wright CB, Supiano MA; SPRINT Study Research Group.

Characterizing Frailty Status in the Systolic Blood Pressure Intervention Trial. Anker D, Santos-Eggimann B, Zwahlen M, Santschi V, Rodondi N, Wolfson C, Chiolero A. Blood pressure in relation to frailty in older adults: A population-based study. J Clin Hypertens Greenwich.

Basile G, Catalano A, Mandraffino G, Maltese G, Alibrandi A, Ciancio G, Lasco A, Cesari M. People with diabetes are twice as likely to develop high blood pressure. It is especially important for seniors with diabetes to have their condition well-controlled to lower the risk of developing other chronic diseases.

Morayati offers senior patients the highest level of care. Prevention and treatment of high blood pressure in seniors aren't one-size-fits-all.

Seniors often have special needs and considerations that impact treatment recommendations. Morayati provides seniors with individualized care to meet their needs.

You should also be eating plenty of vegetables, fruits, whole grains, and lean protein, along with heart-healthy fats. Maintaining health at every stage of life requires adopting healthy habits, partnering with a health care provider, and making your health a priority. To learn more and for all of your primary care needs, contact us at Burlington Medical Center to schedule an appointment with Dr.

Morayati at our Burlington, North Carolina office. We offer in-person and telehealth appointments. Invited Speaker at the 7th International World Congress of Diabetes and Endocrinology Lisbon, Portugal.

July 17, Common Causes of Hypertension in Seniors. You Might Also Enjoy

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1 thoughts on “Hypertension in older adults

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