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Review

Hypertension in the elderly: Some practical considerations

Kashif N. Chaudhry, MD, Patricia Chavez, MD, Jerzy Gasowski, MD, Tomasz Grodzicki, MD and Franz H. Messerli, MD, FACC, FACP
Cleveland Clinic Journal of Medicine October 2012, 79 (10) 694-704; DOI: https://doi.org/10.3949/ccjm.79a.12017
Kashif N. Chaudhry
Mount Sinai School of Medicine, Englewood Hospital Program, Englewood, NJ
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Patricia Chavez
St. Luke’s-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, NY
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Jerzy Gasowski
Department of Internal Medicine and Gerontology, Jagiellonian University, Krakow, Poland
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Tomasz Grodzicki
Department of Internal Medicine and Gerontology, Jagiellonian University, Krakow, Poland
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Franz H. Messerli
St. Luke’s-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, NY
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ABSTRACT

Data from randomized controlled trials suggest that treating hypertension in the elderly, including octogenarians, may substantially reduce the risk of cardiovascular disease and death. However, treatment remains challenging because of comorbidities and aging-related changes. We present common case scenarios encountered while managing elderly patients with hypertension, including secondary hypertension, adverse effects of drugs, labile hypertension, orthostatic hypotension, and dementia.

Footnotes

  • ↵a Dr. Gasowski has disclosed teaching and speaking for the Servier and Zentiva companies.

  • ↵b Dr. Grodzicki has disclosed teaching and speaking for the Servier and Novartis companies.

  • ↵c Dr. Messerli has disclosed consulting for Novartis, Daiichi Sankyo, Pfizer, Takeda, Abbott, PharmApprove, Gilead, Servier, Bayer, and Medtronic and receiving grant support from Forest and Boehringer Ingelheim.

  • Copyright © 2012 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 79 (10)
Cleveland Clinic Journal of Medicine
Vol. 79, Issue 10
1 Oct 2012
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Hypertension in the elderly: Some practical considerations
Kashif N. Chaudhry, Patricia Chavez, Jerzy Gasowski, Tomasz Grodzicki, Franz H. Messerli
Cleveland Clinic Journal of Medicine Oct 2012, 79 (10) 694-704; DOI: 10.3949/ccjm.79a.12017

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Hypertension in the elderly: Some practical considerations
Kashif N. Chaudhry, Patricia Chavez, Jerzy Gasowski, Tomasz Grodzicki, Franz H. Messerli
Cleveland Clinic Journal of Medicine Oct 2012, 79 (10) 694-704; DOI: 10.3949/ccjm.79a.12017
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