Hypertension in the elderly

  • G. Abate
  • M. Zito
  • M. A. Cavoni

Abstract

The prevalence of hypertension and, particularly, of isolated systolic hypertension increases with aging.

On the physiopathological ground, senile hypertension is associated with a decreased compliance of aorta and large vessels, and with dysfunctions of the baroreceptorial reflexes and of some hormonal systems, causing an impaired homeostasis of the body fluids.

On the clinical ground, hypertension in the elderly is characterized by an increased pressor values variability, with a higher prevalence of hypertensive and hypotensive crises, which, in presence of blunted mechanisms of the peripheral blood flow regulation, can induce local ischemia symptoms.

On the therapeutical ground, caution must be due in the pharmacological treatment of elderly patients, also considering the specific complications of hypertension, the associated diseases and the higher incidence of the side effects of the drugs.

In this paper the above-mentioned topics are discussed underlining the opportunity of a careful and individual clinical evaluation.

Keywords

Systolic Hypertension Blood Pressure Variability Baroreceptorial Reflex European Working Party Systolic Blood Pressure Increase 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Kluwer Academic Publishers 1990

Authors and Affiliations

  • G. Abate
    • 1
  • M. Zito
    • 1
  • M. A. Cavoni
    • 1
  1. 1.Department of Gerontology and GeriatricsChietiItaly

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