Blood Pressure in the Elderly

Overview

Journal J R Coll Gen Pract

Specialty Public Health

Date 1976 Oct 1

PMID 794464

Citations 1

Authors

J Coope

Affiliations

Soon will be listed here.

Abstract

The distribution of blood pressure levels in elderly patients is described and the evidence that higher levels are associated with morbidity at this age is reviewed. In the absence of definitive evidence about the results of treating hypertension in the elderly, the physiological factors that have to be taken into account are surveyed with particular reference to aggravating cerebral ischaemia.More potent hypotensive agents should be avoided in older patients and in practice the decision on whether to treat may depend more on the clinical context than on the level of the blood pressure itself.

Citing Articles

Beta-adrenoceptor blocking drugs and the elderly.

Wilkins M, Kendall M J R Coll Physicians Lond. 1984; 18(1):42-5.

PMID: 6142950 PMC: 5370954.

References

Fry J . Natural history of hypertension. A case for selective non-treatment. Lancet. 1974; 2(7878):431-3. DOI: 10.1016/s0140-6736(74)91816-9. View

Neutra R . Letter: Treatment of hypertension. Lancet. 1974; 2(7888):1089-90. DOI: 10.1016/s0140-6736(74)92202-8. View

BAUER G . Treatment of hypertension in the elderly. Drugs. 1974; 7(3):310-8. DOI: 10.2165/00003495-197407030-00005. View

MADDOCKS I, Vines A . The influence of chronic infection on blood-pressure in New Guinea males. Lancet. 1966; 2(7457):262-4. DOI: 10.1016/s0140-6736(66)92545-1. View

Carter A . Hypotensive therapy in stroke survivors. Lancet. 1970; 1(7645):485-9. DOI: 10.1016/s0140-6736(70)91577-1. View

Amery A, DE SCHAEPDRIJVER A . Letter: Should elderly hypertensives be treated?. Lancet. 1975; 1(7901):272-3. DOI: 10.1016/s0140-6736(75)91166-6. View

EISALO A, Heino A, Munter J . The effect of alprenolol in elderly patients with raised blood pressure. Acta Med Scand Suppl. 1974; 554:23-31. DOI: 10.1111/j.0954-6820.1974.tb02510.x. View

MIALL W, Chinn S . Screening for hypertension: some epidemiological observations. Br Med J. 1974; 3(5931):595-600. PMC: 1611582. DOI: 10.1136/bmj.3.5931.595. View

Corman L, SKVERSKY N . Methyldopa-hydrochlorothiazide therapy in hypertensive geriatric patients. J Am Geriatr Soc. 1973; 21(1):36-9. DOI: 10.1111/j.1532-5415.1973.tb00848.x. View

10.

WHITFIELD A . Iatrogenic misadventure. Br Med J. 1972; 1(5802):733-4. PMC: 1787636. DOI: 10.1136/bmj.1.5802.733. View

11.

Chapman J, Coulson A, Clark V, Borun E . The differential effect of serum cholesterol, blood pressure and weight on the incidence of myocardial infarction and angina pectoris. J Chronic Dis. 1971; 23(9):631-45. DOI: 10.1016/0021-9681(71)90159-7. View

12.

Kannel W, Gordon T, Schwartz M . Systolic versus diastolic blood pressure and risk of coronary heart disease. The Framingham study. Am J Cardiol. 1971; 27(4):335-46. DOI: 10.1016/0002-9149(71)90428-0. View

13.

Kannel W, Wolf P, Verter J, MCNAMARA P . Epidemiologic assessment of the role of blood pressure in stroke. The Framingham study. JAMA. 1970; 214(2):301-10. View

14.

Meyer J, Sawada T, Kitamura A, Toyoda M . Cerebral blood flow after control of hypertension in stroke. Neurology. 1968; 18(8):772-81. DOI: 10.1212/wnl.18.8.772. View

15.

PRIOR I, Evans J, Harvey H, Davidson F, Lindsey M . Sodium intake and blood pressure in two Polynesian populations. N Engl J Med. 1968; 279(10):515-20. DOI: 10.1056/NEJM196809052791004. View

16.

Edwards F, McKEOWN T, WHITFIELD A . Arterial pressure in men over sixty. Clin Sci. 1959; 18:289-300. View

17.

Johnson R, Smith A, SPALDING J, WOLLNER L . EFFECT OF POSTURE ON BLOOD- PRESSURE IN ELDERLY PATIENTS. Lancet. 1965; 1(7388):731-3. DOI: 10.1016/s0140-6736(65)92090-8. View

18.

Evans P . RELATION OF LONGSTANDING BLOOD-PRESSURE LEVELS TO ATHEROSCLEROSIS. Lancet. 1965; 1(7384):516-9. DOI: 10.1016/s0140-6736(65)92022-2. View

19.

Marshall J . A TRIAL OF LONG-TERM HYPOTENSIVE THERAPY IN CEREBROVASCULAR DISEASE. Lancet. 1964; 1(7323):10-2. DOI: 10.1016/s0140-6736(64)92157-9. View

20.

Kendell R, Marshall J . Role of hypotension in the genesis of transient focal cerebral ischaemic attacks. Br Med J. 1963; 2(5353):344-8. PMC: 1872504. DOI: 10.1136/bmj.2.5353.344. View