Managing Hypertension in Patients Aged 75 Years and Older

Yogita Rochlani, Mohammed Hasan Khan, Wilbert S. Aronow

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

On the basis of the available data, we would diagnose a normal blood pressure in elderly persons including those 75 years of age and older if the blood pressure was below 120/80 mmHg. We would diagnose hypertension in elderly persons including those aged 75 years and older if the systolic blood pressure was 130 mmHg and higher or if the diastolic blood pressure was 80 mmHg and higher. We would treat these elderly patients with hypertension to a blood pressure goal of less than 130/80 mmHg if the blood pressure was obtained by automated blood pressure monitoring in a quiet room. We would consider treating high-risk persons aged 75 years and older to a blood pressure goal of less than 120/80 mmHg if they were carefully monitored for serious adverse events. If the blood pressure is more than 20/10 mmHg above the goal blood pressure, we would initiate antihypertensive drug therapy with two antihypertensive drugs. The initial drug of choice for the treatment of hypertension in adults aged 75 years and older should be based on co-morbidities, co-incidental indications, tolerability, and cost.

Original languageEnglish (US)
Article number88
JournalCurrent Hypertension Reports
Volume19
Issue number11
DOIs
StatePublished - Nov 1 2017
Externally publishedYes

Keywords

  • Antihypertensive drug therapy
  • Blood pressure
  • Elderly
  • Hypertension

ASJC Scopus subject areas

  • Internal Medicine

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