Elderly Hypertensives: How Are They Different?
Article first published online: 24 AUG 2012
© 2012 Wiley Periodicals, Inc.
The Journal of Clinical Hypertension
Volume 14, Issue 11, pages 779–786, November 2012
How to Cite
Franklin, S. S. (2012), Elderly Hypertensives: How Are They Different?. The Journal of Clinical Hypertension, 14: 779–786. doi: 10.1111/j.1751-7176.2012.00703.x
- Issue published online: 5 NOV 2012
- Article first published online: 24 AUG 2012
- Manuscript received: June 14, 2012; accepted: July 6, 2012
J Clin Hypertens (Greenwich). 2012;14:779–786. ©2012 Wiley Periodicals, Inc.
Once considered an inconsequential part of the aging process, the development of isolated systolic hypertension represents a late manifestation of increased elastic artery stiffness and is the predominant hypertensive subtype in the middle-aged and elderly populations. Its inherent increased risk for vascular events, such as coronary heart disease, stroke, heart failure, peripheral artery disease, chronic kidney disease, and dementia, highlights the importance of its control. The purpose of this short review is to summarize how hypertension is different in the elderly when compared with “essential hypertension” in younger adults. The emphasis will be on the multiple ways that increased artery stiffness affects the natural history and clinical manifestations of hypertension in the elderly.