eISSN: 2450-4459
ISSN: 2450-3517
Lekarz POZ
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3/2023
vol. 9
 
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abstract:

Principles of hypertension therapy in elderly patients

Jan W. Pęksa
1

  1. Specjalistyczna Praktyka Kardiologiczna Jan W. Pęksa w Krakowie
LEKARZ POZ 03/2023
Online publish date: 2023/08/31
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The prevalence of hypertension in older people, aged ≥ 65 years, is high. Older patients have physiological and pathophysiological differences regarding cardiovascular function and cardiovascular disease compared to younger people. These include increased vascular stiffness, increased incidence of adverse effects, including falls resulting from frailty, and frequent hypotonia, including orthostatic and postprandial hypotonia. The presence of comorbidities may be associated with adverse effects in the course of antihypertensive treatment. In older patients, the use of thiazide or thiazide-like diuretics and dihydropyridine calcium channel antagonists in hypotensive therapy is particularly warranted.
keywords:

elderly patients, arterial hypertension, frailty, orthostatic hypotension

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