Isolated systolic hypertension in the elderly

@article{Chae2002IsolatedSH,
  title={Isolated systolic hypertension in the elderly},
  author={Claudia U. Chae and Donald M Jones},
  journal={Current Treatment Options in Cardiovascular Medicine},
  year={2002},
  volume={4},
  pages={87-93}
}
  • C. Chae, Donald M Jones
  • Published 1 February 2002
  • Medicine
  • Current Treatment Options in Cardiovascular Medicine
Opinion statementIsolated systolic hypertension (ISH) is the predominant form of hypertension in persons older than 50 years, who represent the majority of individuals with hypertension. Systolic blood pressure (SBP) determines Joint National Committee blood pressure stage, and therefore the need for therapy, far more often than diastolic blood pressure (DBP). SBP consistently is associated with greater risk for overall mortality, coronary heart disease, stroke, congestive heart failure, renal… 
Effects of body mass index, plasma glucose and cholesterol levels on isolated systolic hypertension.
Hypertension and cognitive function. Blood pressure regulation and cognitive function: a review of the literature.
TLDR
Although single drug therapy is effective in treating hypertension, most patients will require combination drug treatment, and combination therapy--typically a diuretic with an ACE inhibitor, an ARB, or a beta blocker--is appropriate for treatment of older patients, is well tolerated, and can effectively preserve cognitive function.

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