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Hypertension in older adults 

Hypertension in older adults
Chapter:
Hypertension in older adults
Author(s):

Hiromi Rakugi

and Tatsuo Kawai

DOI:
10.1093/med/9780198701590.003.0101
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date: 22 August 2019

Hypertension is very common in older adults and highly clinically relevant to manage as it remains a strong risk factor of cardiovascular diseases and cognitive decline. Active reduction in hypertension in even the very oldest adults has demonstrated efficacy in the prevention of cardiovascular and cerebrovascular diseases and reduction in hip fracture. Hypertension in older adults is characterized by high prevalence of isolated systolic hypertension, increased fluctuation of blood pressure, and having various comorbidities which affect not only management of hypertension but also activities of daily living and quality of life. It is important to pay attention to these characteristics for diagnosis of hypertension, introducing lifestyle modification, selection who should be treated with antihypertensive drugs, choice of antihypertensive drugs, and setting the target blood pressure. This careful management is especially required in the very old or frail, and those with cognitive dysfunction.

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