Hypertension in the Elderly

Hypertension effects 50 per cent to 70 per cent of older patients. It is a condition that is seen commonly by family practitioners, general internists and geriatricians. With the elderly population continuing to rise, this condition will become more prevalent in years to come. This book provides a clinical guide to the diagnosis, evaluation, and treatment of hypertension in the older patient. It is clearly written and uses evidenced based research to deliver its message. The consequences of poor management of this illness can have serious detrimental effects on the quality of life for patients reaching their golden years. This text fills the need for an authoritative reference to assist doctors in proper care.

Contents: Contents PART 1: BASICS 1. The Importance of Hypertension in the Geriatric Population: Ray W. Gifford, MD L. Michael Prisant, MD 2. Age-related Changes in the Cardiovascular System: R. Clinton Webb, PhD Edward W. Inscho, PhD 3. Aging, Arterial Stiffness, and Systolic Hypertension: Joseph L. Izzo, MD 4. Pharmacologic and Pharmacodynamic Alterations in the Elderly: Application to Cardiovascular Therapies Domenic A. Sica, MD PART 2: EPIDEMIOLOGY AND TRIALS 5. Epidemiology of Hypertension in the Older Patient: William B. Kannel, MD Peter W.F. Wilson, MD 6. Nonpharmacologic Trials in the Older Patient: L. Michael Prisant, MD Dean U. Harrell, MD 7. Clinical Trials of Hypertension in Older Patient: L. Michael Prisant, MD PART 3: EVALUATION AND MANAGEMENT 8. Blood Pressure Measurement in the Older Patients with Hypertension: Jose Ramiro Arias-Vera, MD William B. White, MD 9. Clinical evaluation of the elderly hypertensive: L. Michael Prisant, MD Thomas W. Jackson, MD 10. Hypertension in the Elderly: Endocrine Causes of Secondary Hypertension: Carlos M. Isales, MD 11. Diagnosis and Management of Management of Hypertensive Renal and Renovascular Disease in the Elderly: Wanpen Vongpatanasin, MD Ronald G. Victor, MD 12. Heart Failure in the Older Hypertensive Patient L. Michael Prisant, MD Carolyn Landolfo, MD John Thornton, MD Vincent J. B. Robinson, MBBS 13. Management of Ischemic Heart Disease in the Older Hypertensive Patient: Evaluation and Management Jan Laws Houghton, MD 14. Cerebrovascular Disease in the Elderly Hypertensive: Fenwick T. Nichols, III, MD PART 4: PHARMACOLOGIC TREATMENT 15. Diuretics and b-Adrenergic Blockers in the Management of Hypertension in the Elderly: William C. Cushman, MD 16. Assessment of the Role ACE Inhibitors in the Elderly: Domenic A. Sica, MD 17. Use of Angiotensin Receptor Blockers in the Elderly: L. Michael Prisant, MD 18. Clinical Trials with Calcium Antagonists in Older Patients with Hypertension: William B. White, MD Sumeska Thavarajah, MD 19. Alpha Adrenoceptor Blockers for Management of Hypertension in the Elderly: James L. Pool, MD 20. Combination Drug Therapy in the Elderly: L. Michael Prisant, MD Laura Lyngby Mulloy, DO PART 5: SPECIAL POPULATIONS 21. Attitudes regarding Hypertension among Older African-American Adults Wallace R. Johnson, MD Elijah Saunders, MD 22. Treatment of Hypertension in the Elderly Diabetic Patient: James R. Sowers, MD L. Michael Prisant, MD 23. Management of Hypertension in Older Patients with Arthritis: Sumeska Thavarajah, MD William B. White, MD PART 6: ADHERENCE 24. The Clinician's Role in Improving Therapeutic Adherence and Blood Pressure Control in Older Hypertensive Patients: Brent M. Egan, MD Eni C. Okonofua, MD