[Modern treatment of hypertension in older patients (author's transl)].
In aged people a differentiation has to be made between "arteriosklerotic hypertension" due to increased stiffness of the aorta and true hypertension in older patients. The therapy of hypertension in older patients principally is the same as in younger individuals; however, blood pressure should be lowered slowly with the respect to concomitant diseases of the kidney, coronary arteriosclerosis and heart failure. Usually, in older patients there long-standing hypertension with increased peripheral resistance and low cardiac output. Therefore, a diuretic or vasodilating agent may be the drug of first choice. Betablockers are not generally contraindicated, but given with caution. The same is true for ganglionblocking agents. In a large number of cases salt restriction and general measures will lead to a suitable blood pressure control.
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D004232:Diuretics / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000209:etiology; D013565:Sympatholytics / Q000627:therapeutic use; D014665:Vasodilator Agents / Q000627:therapeutic use
D000319:Adrenergic beta-Antagonists; D004232:Diuretics; D013565:Sympatholytics; D014665:Vasodilator Agents
Moderne Hypertoniebehandlung bei älteren Patienten.