- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Chapter 95 Cardiac and vascular ageing
- Chapter 96 Dyslipidemias and other cardiometabolic risk factors in older adults
- Chapter 97 Physical factors in arterial ageing
- Chapter 98 Peripheral vascular disease in older adults: diagnostic and treatment considerations
- Chapter 99 Aneurysmal diseases
- Chapter 100 Pulmonary thromboembolism
- Chapter 101 Hypertension in older adults
- Chapter 102 Syncope and neurocardiovascular instability
- Chapter 103 Management of atrial fibrillation and anticoagulant therapies
- Chapter 104 Management of bradyarrhythmias
- Chapter 105 Management of tachyarrhythmias
- Chapter 106 Ischaemic heart disease
- Chapter 107 Valvular heart disease: state of the art and treatment perspectives
- Chapter 108 Heart failure: definitions, investigation, and management
- Chapter 109 Cardiac rehabilitation
- Chapter 110 Cardiopulmonary resuscitation: outcomes and decision-making processes for older adults
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing
(p. 773) Hypertension in older adults
- Chapter:
- (p. 773) Hypertension in older adults
- Author(s):
Hiromi Rakugi
and Tatsuo Kawai
- DOI:
- 10.1093/med/9780198701590.003.0101
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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- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Chapter 95 Cardiac and vascular ageing
- Chapter 96 Dyslipidemias and other cardiometabolic risk factors in older adults
- Chapter 97 Physical factors in arterial ageing
- Chapter 98 Peripheral vascular disease in older adults: diagnostic and treatment considerations
- Chapter 99 Aneurysmal diseases
- Chapter 100 Pulmonary thromboembolism
- Chapter 101 Hypertension in older adults
- Chapter 102 Syncope and neurocardiovascular instability
- Chapter 103 Management of atrial fibrillation and anticoagulant therapies
- Chapter 104 Management of bradyarrhythmias
- Chapter 105 Management of tachyarrhythmias
- Chapter 106 Ischaemic heart disease
- Chapter 107 Valvular heart disease: state of the art and treatment perspectives
- Chapter 108 Heart failure: definitions, investigation, and management
- Chapter 109 Cardiac rehabilitation
- Chapter 110 Cardiopulmonary resuscitation: outcomes and decision-making processes for older adults
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing