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The Importance of Hypertension in the Geriatric Population

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Book cover Hypertension in the Elderly

Abstract

A 50% increase in the 1995 US population size by the year 2050 has been projected (1). Although 12.5% of the population was 65 years or older in 1990, it is estimated the percentage will increase to 20% by 2050 (Fig. 1). The number of elderly will increase from 39 million in 2010 to 69 million by 2030 (1). The projected population growth of older patients will certainly increase the prevalence of hypertension in the elderly, which accounts for two-thirds of the elderly population (2). The prevalence of hypertension has increased since 1988 (Fig. 2) (3).

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References

  1. Day JC. Population Projections of the United States by Age, Sex, Race, and Hispanic Origin: 1995 to 2050. Washington, DC: US Government Printing Office; 1996. US Bureau of Census, Current Population Reports P25-1130.

    Google Scholar 

  2. The sixth report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Arch Intern Med 1997; 157:2413–2446.

    Google Scholar 

  3. Hajjar I, Kotchen TA. Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988–2000. JAMA 2003;290:199–206.

    Article  PubMed  Google Scholar 

  4. Burt VL, Whelton P, Roccella EJ, et al. Prevalence of hypertension in the US adult population. Results from the Third National Health and Nutrition Examination Survey, 1988–1991. Hypertension 1995;25:305–313.

    PubMed  CAS  Google Scholar 

  5. Franklin SS, Jacobs MJ, Wong ND, L’Italien GJ, Lapuerta P. Predominance of isolated systolic hypertension among middle-aged and elderly US hypertensives: analysis based on National Health and Nutrition Examination Survey (NHANES) III. Hypertension 2001;37:869–874.

    PubMed  CAS  Google Scholar 

  6. Hyman DJ, Pavlik VN. Characteristics of patients with uncontrolled hypertension in the United States. N EnglJ Med 2001;345:479–486.

    Article  CAS  Google Scholar 

  7. Chobanian AV. Control of hypertension-an important national priority. N Engl J Med 2001;345:534–535.

    Article  PubMed  CAS  Google Scholar 

  8. Applegate WB. The relative importance of focusing on elevations of systolic vs diastolic blood pressure. A definitive answer at last. Arch Intern Med 1992; 152: 1969–1971.

    Article  PubMed  CAS  Google Scholar 

  9. Prevention of stroke by antihypertensive drug treatment in older persons with isolated systolic hypertension. Final results of the Systolic Hypertension in the Elderly Program (SHEP). SHEP Cooperative Research Group. JAMA 1991;265:3255–3264.

    Google Scholar 

  10. Medical Research Council trial of treatment of hypertension in older adults: principal results. MRC Working Party. BMJ 1992;304:405–412.

    Google Scholar 

  11. Izzo JL Jr, Levy D, Black HR. Clinical Advisory Statement. Importance of systolic blood pressure in older Americans. Hypertension 2000;35:1021–1024.

    PubMed  Google Scholar 

  12. Mulrow CD, Cornell JA, Herrera CR, Kadri A, Farnett L, Aguilar C. Hypertension in the elderly. Implications and generalizability of randomized trials. JAMA 1994;272:1932–1938.

    Article  PubMed  CAS  Google Scholar 

  13. Liu L, Wang JG, Gong L, Liu G, Staessen JA. Comparison of active treatment and placebo in older Chinese patients with isolated systolic hypertension. Systolic Hypertension in China (Syst-China) Collaborative Group. J Hypertens 1998;16(12 Pt 1): 1823–1829.

    Article  PubMed  CAS  Google Scholar 

  14. Staessen JA, Fagard R, Thijs L, et al. Randomised double-blind comparison of placebo and active treatment for older patients with isolated systolic hypertension. The Systolic Hypertension in Europe (Syst-Eur) Trial Investigators. Lancet 1997;350:757–764.

    Article  PubMed  CAS  Google Scholar 

  15. Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic: the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). JAMA2002;288:2981–2997.

    Google Scholar 

  16. Grimm RH Jr, Margolis KL, Papademetriou VV, et al. Baseline characteristics of participants in the Antihypertensive and Lipid Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). Hypertension 2001;37:19–27.

    PubMed  CAS  Google Scholar 

  17. Cushman WC, Ford CE, Cutler JA, et al. Success and predictors of blood pressure control in diverse North American settings: the Antihypertensive and Lipid-Lowering treatment to prevent Heart Attack Trial (ALLHAT). J Clin Hypertens (Greenwich) 2002;4:393–404.

    Article  Google Scholar 

  18. Prisant LM, Moser M. Hypertension in the elderly: can we improve results of therapy? Arch Intern Med2000;160:283–289.

    Article  PubMed  CAS  Google Scholar 

  19. Chobanian AV, Bakris GL, Black HR, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003;289:2560–2572.

    Article  PubMed  CAS  Google Scholar 

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© 2005 Humana Press Inc., Totowa, NJ

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Gifford, R.W., Prisant, L.M. (2005). The Importance of Hypertension in the Geriatric Population. In: Prisant, L.M. (eds) Hypertension in the Elderly. Clinical Hypertension and Vascular Diseases. Humana Press. https://doi.org/10.1007/978-1-59259-911-0_1

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  • DOI: https://doi.org/10.1007/978-1-59259-911-0_1

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-197-4

  • Online ISBN: 978-1-59259-911-0

  • eBook Packages: MedicineMedicine (R0)

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