Document Detail


Diuretic responsiveness of blood pressure in the elderly.
MedLine Citation:
PMID:  2469903     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The problem of elevated blood pressure in the elderly is a common and potentially devastating one. Reduction of elevated blood pressure, whether systolic, diastolic, or both, is particularly beneficial in older hypertensive subjects in reducing morbidity and mortality. The older individual presents a unique pathophysiologic situation, one in which a variety of considerations must be given to the safest choice of antihypertensive agents. A consistent response of blood pressure in the elderly is not observed with different antihypertensive agents, and the problems of side effects and as well as life-threatening effects of antihypertensive drugs are of particular concern among older hypertensive subjects. While diuretics, on balance, appear to be more effective in lowering blood pressure in older hypertensive patients than in young individuals, the disadvantages and risks of diuretic therapy make them less than ideal agents. Calcium channel blockers and serotonin antagonists have proven, in preliminary studies, to be useful, effective, and safe alternatives to diuretic therapy in older hypertensive patients.
Authors:
M H Weinberger
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of cardiovascular pharmacology     Volume:  12 Suppl 8     ISSN:  0160-2446     ISO Abbreviation:  J. Cardiovasc. Pharmacol.     Publication Date:  1988  
Date Detail:
Created Date:  1989-06-12     Completed Date:  1989-06-12     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7902492     Medline TA:  J Cardiovasc Pharmacol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  S60-7     Citation Subset:  IM    
Affiliation:
Hypertension Research Center, Indiana University School of Medicine, Indianapolis 46223.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aging / physiology*
Blood Pressure / drug effects*
Diuretics / pharmacology*
Humans
Hypertension / drug therapy,  physiopathology
Chemical
Reg. No./Substance:
0/Diuretics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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