MANAGEMENT OF HYPERTENSION IN OLDER PEOPLE: THE EXPERIENCE IN BRUNEI
Geriatrics, Gerontology and Aging
MANAGEMENT OF HYPERTENSION IN OLDER PEOPLE: THE EXPERIENCE IN BRUNEI
Autor Correspondente: Shyh Poh Teo | [email protected]
Palavras-chave: aged, hypertension
Resumos Cadastrados
Resumo Português:
Systolic hypertension of 160 mmHg and above is common in older people, as a result of reduction in vascular compliance. Although uncomplicated hypertension is not unusual in geriatric clinical practice, high-quality evidence has demonstrated increased rates of premature disability, all-cause mortality, stroke, and cardiac events in older patients with untreated moderate-to-severe hypertension.1,2 For every 20-mmHg increase in systolic blood pressure (BP) and 10-mmHg increase in diastolic BP, there is an associated doubling of the risk of death from stroke and coronary artery disease.1 A recent paper on hypertension also revealed the increasing prevalence of hypertension in older people, especially for those with multiple comorbidities.2 A systematic population-based approach is required to optimally manage hypertension and its associated cardiovascular risks. In this paper, we share our considerations in developing or adapting guidelines for treatment of hypertension among older people (i.e., age 65 years and older) in primary care settings in Brunei.
