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Management of Systolic Hypertension in Elderly

Systolic Hypertension in Elderly patients is more dangerous to humans than other types of hypertensions, and it should arouse the high attention of People with high blood pressure.

The condition in which the systolic pressure and the diastolic pressure of elderly hypertensive patients aged over 65 are above 160 mmHg and below 90 mmHg, respectively is known as systolic hypertension in the elderly. More than 30% of patients manifest the above features in Europe and Americas. The genesis of systolic hypertension in the elderly may be associated with atherosclerosis, and it also can result in such complications as stroke and coronary heart disease.

Currently, there are difficulties to certain degrees in the treatment of Systolic Hypertension in Elderly in clinical practice because no drugs that decrease only systolic pressure but not diastolic pressure are available so far. Therefore, when patients are treated with conventional antihypertensive drugs, the diastolic pressure within the normal range is bound to be decreased, which may bring adverse effects to patients, especially to elderly patients with hypertension. Therefore, the systolic pressure of patients reduced to 150 mmHg will be okay, while the diastolic pressure should not be lower than 60 mmHg in any case. In the process of drug treatment, attention should be paid to changes in both the systolic pressure and the diastolic pressure, and the appropriate decrease in the systolic pressure while no exceedingly low diastolic pressure should be achieved as much as possible. Systolic Hypertension in Elderly Patients should actively have their relevant diseases treated, such as atherosclerosis, treated to narrow down the pulse pressure, thereby preventing complications.

Systolic Hypertension in Elderly is often seen in patients with diabetes, autonomic dysfunction, arteriosclerosis characterized by:

For the above characteristics, the following several points should be noted when treating such a type of hypertension.

After the patient’s blood pressure stabilizes, the short-acting antihypertensive drugs can be replaced by long-acting ones so as to keep a stable blood pressure in them.

See also:
Blood pressure goals for elderly
The greater the pulse pressure is, the more risks there will be
Narrow the pulse pressure without non antihypertensive drug
Decreased systolic pressure can better indicate the actual effects of blood pressure control
Drugs for complications of hypertension in the elderly
Will Exceedingly Decreased Blood Pressure Lead to Stroke?

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