title: [Primary and secondary arterial hypertension - update 2016].
abstract: In patients with hypertension without diabetes and with an increased risk of cardiovascular complications a blood pressure of below 130 mmHg should be targeted. Hypertensive patients with an age above 80 years should be treated in the same way as younger hypertensive patients if they are otherwise healthy and functionally independent. On the other hand frail elderly patients could have an increased morbidity and mortality with intensive blood pressure control. In patients with resistant hypertension spironolactone was the most effective drug when given in addition to their baseline drugs (ACE-inhibitor/angiotensin receptor antagonist, calcium channel blocker and thiazide diuretic).
authors.forename: Bernd
authors.initials: B
authors.lastname: Sanner
authors.forename: Martin
authors.initials: M
authors.lastname: Hausberg
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000009:adverse effects / Q000627:therapeutic use*; D002318:Cardiovascular Diseases / Q000209:etiology / Q000517:prevention & control*; D003131:Combined Modality Therapy; D061218:Depressive Disorder, Treatment-Resistant / Q000150:complications / Q000188:drug therapy / Q000209:etiology; D004359:Drug Therapy, Combination; D005260:Female; D016330:Frail Elderly; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy* / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D010809:Physical Fitness; D012307:Risk Factors; D055815:Young Adult
chemical_list: D000959:Antihypertensive Agents