By Norman Kaplan

Although it sort of feels illogical to provide therapy to minimize cardiovascular hazard components in people with a restricted existence expectancy and beside the point to reduce blood strain within the aged while it really is recognized that high blood pressure rises as humans become old, reports have proven past average doubt that reducing the blood strain within the aged reduces morbidity and prolongs existence. high blood pressure within the aged examines this topic extensive, together with such subject matters as dimension of blood strain and postural hypotension, the advantages of treating high blood pressure within the aged, way of life changes and bettering compliance. This complete publication comprises colour tables, algorithms, directions, and charts.

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The accuracy of the home readings taken with the electronic devices is shown by the identical results with that device and the mercury manometer at the second clinic visit. White-coat hypertension Although the blood pressure typically falls over the first few weeks of repeated measurements taken either in the office or at home, in about 20–30% of patients the office readings remain elevated but those taken out of the office are normal. This condition is referred to as ‘white-coat hypertension’ or ‘isolated office hypertension’.

Staessen et al. (2000) analyzed the data from eight placebo-controlled randomized trials involving 15693 elderly patients with ISH (Figure 23). Protection from stroke (a 30% decrease) and coronary disease (a 23% decrease) is quantitatively greater than that shown in multiple RCTs in younger subjects. In particular, the reduction in CHD was almost twice that seen in the younger patients, which is probably a reflection of two factors. e. 4–6 years, of these RCTs. If younger patients were treated for 10–20 years they would almost certainly achieve as much benefit.

46 The benefits of treating hypertension in the elderly Over the past few years, increasingly strong evidence from large randomized controlled trials (RCTs) has documented the value of treating hypertension in the elderly. Staessen et al. (2000) analyzed the data from eight placebo-controlled randomized trials involving 15693 elderly patients with ISH (Figure 23). Protection from stroke (a 30% decrease) and coronary disease (a 23% decrease) is quantitatively greater than that shown in multiple RCTs in younger subjects.

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