PT  - JOURNAL ARTICLE
ED  - Vidt, Donald G.
AU  - Gifford, Ray W.
TI  - Managing hypertension in the elderly: dispelling the myths
DP  - 1995 Jan 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 29--35
VI  - 62
IP  - 1
4099  - http://www.ccjm.org/content/62/1/29.short
4100  - http://www.ccjm.org/content/62/1/29.full
SO  - Cleve Clin J Med1995 Jan 01; 62
AB  - BACKGROUND There are now more than 31 million people 65 years of age or older in the United States, at least half of whom have systolic blood pressure 140 mm Hg or higher or diastolic blood pressure 90 mm Hg or higher or both. By the year 2050, 16 million Americans will be over age 85.OBJECTIVE To review the current data and recommendations regarding treating hypertension in elderly patients.SUMMARY Randomized clinical trials have dispelled some of the myths that surround treatment of hypertension in the elderly by showing that judicious treatment of elevated blood pressure, both systolic and diastolic, will reduce the risk of cardiovascular morbidity and mortality, with an acceptable trade-off in terms of side effects and without sacrificing quality of life.CONCLUSIONS Because most of the trials have used a diuretic as initial therapy, it is recommended that one of these agents be prescribed in low doses if life-style modifications do not reduce blood pressure to acceptable levels, unless there is a contraindication to diuretics or an indication for another class of agents.