Navigation Links
Experts Offer New Guidance for Blood Pressure Control in Elderly
Date:4/25/2011

MONDAY, April 25 (HealthDay News) -- Elderly Americans are at high risk for high blood pressure and related health problems and death, but lifestyle changes and proper use of medicines can reduce these risks, says a clinical guidance statement released Monday by the American Heart Association and the American College of Cardiology.

High blood pressure, or hypertension, affects 78 percent of older women and 64 percent of older men in the United States, increasing their risk for heart disease, kidney disease and diabetes. Among those 80 and older, only one-third of men and one-quarter of women have adequate control of their blood pressure.

Controlling blood pressure in elderly patients is much more cost-effective than treating heart problems that result from uncontrolled hypertension, but many doctors don't treat hypertension in these patients because they worry that doing so will increase the risk of death, explained American College of Cardiology/American Heart Association (ACC/AHA) writing committee co-chair Dr. Wilbert S. Aronow, clinical professor of medicine at New York Medical College/Westchester Medical Center.

"Treating hypertension in the elderly is particularly challenging because they usually have several health problems and a greater prevalence of cardiovascular risk factors and cardiac events," Aronow said in an ACC/AHA news release. "There also needs to be greater vigilance to avoid treatment-related side effects such as electrolyte disturbances, renal dysfunction and excessive orthostatic blood pressure decline."

The clinical guidance statement is meant to help doctors safely and effectively manage hypertension in elderly patients. The decision to develop the statement was prompted by results released in 2008 from the Hypertension in the Very Elderly Trial. This large trial found that high blood pressure treatment in people 80 and older led to 30 percent fewer strokes, 23 percent fewer cardiac deaths, 64 percent fewer cases of heart failure, and a 21 percent drop in death from all causes.

Among the recommendations in the clinical guidance statement:

  • Routine monitoring of blood pressure, including taking blood pressure readings while a patient is standing.
  • The appropriate therapeutic targets are blood pressure levels of less than 140/90 mm Hg in people aged 65 to 79, and a systolic blood pressure (the top number in a blood pressure reading) between 140 and 145 mm Hg in people 80 and older if tolerated.
  • Use of medications, when appropriate, based on efficacy, tolerability, the presence of other health problems, and cost.
  • When beginning treatment with antihypertensive drugs, doctors should generally begin with the lowest dose and gradually increase the dose as tolerated by the patient.
  • Patients should be encouraged to make lifestyle changes to prevent and treat high blood pressure. These changes include regular physical activity, restricted salt intake, weight control, quitting smoking, and limiting alcohol intake.

The statement authors also noted that the high cost of antihypertensive drugs is a factor in low rates of blood pressure control among the elderly, and doctors should discuss this issue with patients.

The statement, which appears on the ACC and AHA websites, will be published in the May 17 issue of the Journal of the American College of Cardiology.

More information

The U.S. National Institute on Aging has more about high blood pressure.

.

-- Robert Preidt

SOURCE: American College of Cardiology/American Heart Association, news release, April 25, 2011


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Lifestyle Changes Can Slash Blood Fat Levels, Experts Say
2. Experts to discuss advances in dental sleep medicine treatments for sleep-disordered breathing
3. U-M experts: Gym gone but not forgotten? Parents want more physical activity at school for kids
4. Experts Call for Twist on Football Helmet Design
5. Driver Errors Explain Most Teen Crashes, Experts Say
6. Experts at Experimental Biology examine dietary cholesterol, egg intake and heart disease risk
7. Digestive experts grade treatment options for inflammatory bowel disease
8. Antibiotic-Resistant Bacteria in India Could Spread, Experts Say
9. Experts issue recommendations for evaluating and treating pituitary incidentalomas
10. As CT Scans of Kids Soar, Experts Urge Oversight
11. Sports Gear Should Also Protect Eyes, Experts Say
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Experts Offer New Guidance for Blood Pressure Control in Elderly 
(Date:12/4/2016)... ... December 03, 2016 , ... The Lymphoma Research Foundation ... research and serving the lymphoma community through a comprehensive series of education programs, ... Event in New York City, with long-time partners The Paul Foundation, on November ...
(Date:12/4/2016)... ... , ... While James Earl Jones is known for myriad roles on stage ... "Front Page". One of the forthcoming episodes examines mammogram techniques; a very important part ... part due to early detection. Like any other disease, treatments have a much higher ...
(Date:12/4/2016)... ... December 03, 2016 , ... Penrose Senior Care Auditors® was ... Tuesday evening at the 26th Annual SMU Cox Dallas 100™ Awards Ceremony and ... Institute for Entrepreneurship. Dallas 100™, co-founded by the Caruth Institute, honors the ingenuity, ...
(Date:12/4/2016)... ... December 04, 2016 , ... Patients who wish to gain ... of a cosmetic procedure known as Carbon Dioxide (C02) Fractional Laser Resurfacing ... age spots, fine lines, uneven coloration, wrinkles, scarring, skin laxity or textural ...
(Date:12/4/2016)... , ... December 04, 2016 , ... Responsible dental care ... must brush properly to achieve optimal results. This important necessity inspired an inventor from ... for a way to ensure that people break or avoid bad techniques of brushing ...
Breaking Medicine News(10 mins):
(Date:12/5/2016)... Ill. , Dec. 5, 2016 For ... score on the 2017 Human Rights Campaign Foundation,s ... The CEI is a national benchmarking tool used to ... bisexual, and transgender (LGBT) employee equality. For ... Survey to help companies gauge their equality efforts, culture ...
(Date:12/5/2016)... , Dec. 5, 2016 Eisai Inc. ... at the 2016 Annual Meeting of the American Epilepsy ... CIII, is indicated as an adjunctive therapy for the ... secondarily generalized seizures and primary generalized tonic-clonic seizures (PGTC) ... age and older. Please see Important Safety Information for ...
(Date:12/5/2016)... , Dec. 5, 2016  Seno Medical Instruments, Inc., ... a new tool to improve the process of diagnosing ... from its European MAESTRO post-market surveillance and clinical follow-up ... Symposium (SABCS) taking place from December 6-10, 2016 ... San Antonio, Texas . Seno ...
Breaking Medicine Technology: