[Profile of the treated elderly hypertensive patient].
BACKGROUND
There is concern about the consequences that hypertension has on the well being and mortality of elderly people.


OBJECTIVE
To compare the morbidity and mortality of young and old treated hypertensive subjects.


METHODS
Retrospective analysis of hypertensive subjects treated and followed for a period of 10 +/- 9 years. Subjects that started treatment at an age of less than 65 years and those that started treatment after 65 years of age, were analyzed separately. The antihypertensive drugs used for treatment and blood pressure reduction were similar in both groups.


RESULTS
Subjects that started treatment after 65 years of age (157 females and 133 males) had lower serum cholesterol levels and a higher prevalence of end organ damage than their younger counterparts. Women over 65 had a higher body mass index than women of less than 65. Males over 65 years had a higher prevalence of diabetes than younger males. Mortality and complications of hypertension were higher in subjects that started treatment after 65 years of age.


CONCLUSIONS
The higher mortality of subjects that start hypertensive treatment after 65 years of age, is indicative of the need to detect and treat hypertension at the earliest possible moment.
Departamento de Medicina (Campus Centro) y Escuela de Salud Pública, Universidad de Chile, Santiago de Chile. oscarromanalemany@hotmail.com
Oscar
O
Román
Marta
M
Badilla
Angélica
A
Valenzuela
Francisco
F
Cumsille
Norma
N
Rodríguez
D000367:Age Factors; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use; D002677:Chile / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000453:epidemiology* / Q000401:mortality; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors
D000959:Antihypertensive Agents