title: Protocol: isolated systolic hypertension in the elderly.
abstract: Isolated systolic hypertension is common in the elderly population and has only recently been recognized as a pathophysiologic process. In the past it was considered to be part of the normal aging process. Assessment of isolated systolic hypertension is covered, including the differentiation between isolated systolic hypertension, essential hypertension and secondary hypertension. Non-pharmacologic therapy, the treatment of first choice, and pharmacologic therapy are discussed, including treatment considerations related to the aging process. Also included are patient education guidelines and indications for physician referral. Isolated systolic hypertension is an important clinical entity in the growing elderly population and can be appropriately diagnosed and managed by the nurse practitioner in primary care.
mesh_terms: D000368:Aged; D004232:Diuretics / Q000627:therapeutic use; D006801:Humans; D006973:Hypertension / Q000451:nursing* / Q000628:therapy; D009722:Nurse Practitioners; D009730:Nursing Assessment; D010353:Patient Education as Topic; D012017:Referral and Consultation
chemical_list: D004232:Diuretics