title: Hypertension in the geriatric population: a patient-centered approach.
abstract: Hypertension contributes greatly to adverse cardiovascular outcomes; the magnitude of this contribution increases with age. The most recent guideline has proposed raising the goal systolic blood pressure to less than 150 mm Hg among those over age 60; however, this recommendation is not endorsed by other organizations. There are multiple contributors to hypertension in the older individual, including increased vascular stiffness, salt sensitivity, and decreased baroreceptor responsiveness. Therapy in the hypertensive patient over age 60 should be individualized and account for patient's health, functional and cognitive status, comorbidities, frailty, and prognosis.
authors.affiliation: George E. Wahlen Salt Lake Veterans Administration Medical Center, Geriatrics Division, University of Utah School of Medicine, 500 Foothill Drive, Salt Lake City, UT 84148, USA. Electronic address: Philip.Kithas@va.gov.
authors.forename: Philip A
authors.initials: PA
authors.lastname: Kithas
authors.affiliation: George E. Wahlen Department of Veterans Affairs Health Care System, VA Salt Lake City Geriatric Research, Education, and Clinical Center, Geriatrics Division, University of Utah School of Medicine, Salt Lake City GRECC (182), 500 Foothill Drive, Salt Lake City, UT 84148, USA.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Supiano
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000627:therapeutic use; D002752:Chlorthalidone / Q000627:therapeutic use; D015897:Comorbidity; D004232:Diuretics / Q000627:therapeutic use; D016330:Frail Elderly; D006299:Health Services for the Aged / Q000592:standards*; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000628:therapy*; D008875:Middle Aged; D018802:Patient-Centered Care / Q000379:methods* / Q000592:standards; D017410:Practice Guidelines as Topic; D011379:Prognosis; D012307:Risk Factors; D040242:Risk Reduction Behavior
chemical_list: D000959:Antihypertensive Agents; D004232:Diuretics; D002752:Chlorthalidone
keywords: Elderly; Frailty; Goal blood pressure; Guidelines; Hypertension