Hypertension in the Elderly

Hypertension in the Elderly

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Description

A comprehensive review of all aspects of hypertension in the elderly using the most current clinical data. Topics range from basic concepts, epidemiology and trials, and evaluation and management, to pharmacologic treatment, special populations, and adherence, all presented with an emphasis on the optimal management of patients. The authors examine in detail the mechanisms of hypertension in the elderly, the lifestyle trials and outcomes trials that were conducted in older persons, as well as the problems of clinical evaluation, secondary hypertension, adherence, and target organ damage. Extensive discussions of pharmacologic therapy detail the role of all the major drug classes.
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Product details

  • Hardback | 532 pages
  • 157.5 x 236.2 x 40.6mm | 1,043.27g
  • Totowa, NJ, United States
  • English
  • 2005 ed.
  • 130 Illustrations, black and white; XX, 532 p. 130 illus.
  • 1588291979
  • 9781588291974

Back cover copy

Although elderly hypertensive patients are the subjects of the largest body of outcomes trial data, as a group they are not getting the maximum benefit from antihypertensive medications. In Hypertension in the Elderly, a panel of leading academic physicians comprehensively reviews all aspects of this problem using the most current clinical data. Topics range from basic concepts, epidemiology and trials, and evaluation and management, to pharmacological treatment, special populations, and adherence, all presented with an emphasis on the optimal management of patients. The authors examine in detail the mechanisms of hypertension in the elderly, particularly age-related changes in vascular stiffness, and methodically review the lifestyle and outcomes trials that were conducted in older persons. The problems of clinical evaluation, secondary hypertension, and target organ damage are also fully addressed, and a practical approach is provided for correctly determining blood pressure, one of the most important tasks in evaluating an older patient. Extensive discussions of pharmacological therapy detail the role of individual drug classes, including diuretics and b-blockers, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, calcium antagonists, a-1 blockers, and combination drug therapies. Additional chapters focus on special populations, such as African Americans, patients with diabetes, and patients with arthritis, as well as on the clinician's role in improving therapeutic adherence in older patients.
Comprehensive and authoritative, Hypertension in the Elderly offers family practitioners and general internists an up-to-date, user-friendly reference on the diagnosis, treatment, and complications of hypertension in the elderly.
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Table of contents

Part I: Basics

The Importance of Hypertension in the Geriatric Population
Ray W. Gifford, Jr. and L. Michael Prisant

Age-Related Changes in the Cardiovascular System
R. Clinton Webb and Edward W. Inscho

Aging, Arterial Stiffness, and Systolic Hypertension
Joseph L. Izzo, Jr.

Pharmacological and Pharmacodynamic Alterations in the Elderly: Application to Cardiovascular Therapies
Domenic A. Sica

Part II: Epidemiology and Trials

Epidemiology of Hypertension in the Older Patient
William B. Kannel and Peter W. F. Wilson

Nonpharmacological Trials in the Older Hypertensive Patient
L. Michael Prisant and Dean U. Harrell

Clinical Trials of Hypertension in the Older Patient
L. Michael Prisant

Part III: Evaluation and Management

Blood Pressure Measurement in Older Patients With Hypertension
Jose Ramiro Arias-Vera and William B. White

Clinical Evaluation of the Elderly Hypertensive
L. Michael Prisant and Thomas W. Jackson

Hypertension in the Elderly: Endocrine Causes of Secondary Hypertension
Carlos M. Isales

Diagnosis and Management of Hypertensive Renal and Renovascular Disease in the Elderly
Wanpen Vongpatanasin and Ronald G. Victor

Heart Failure in the Older Hypertensive Patient
L. Michael Prisant, Carolyn Landolfo, John Thornton, and Vincent J. B. Robinson

Ischemic Heart Disease in the Older Hypertensive Patient: Evaluation and Management
Jan Laws Houghton

Cerebrovascular Disease in the Elderly Hypertensive
Fenwick T. Nichols III

Part IV: Pharmacologic Treatment

Diuretics and b-Adrenergic Blockers in the Management of Hypertension in the Elderly
William C. Cushman

Assessment of the Role of ACE Inhibitors in the Elderly
Domenic A. Sica

Use of Angiotensin Receptor Blockers in the Elderly
L. Michael Prisant

Clinical Trials With Calcium Antagonists in Older Patients With Hypertension
William B. White and Sumeska Thavarajah

a-Adrenoceptor Blockers for Management of Hypertension in the Elderly
James L. Pool

Combination Drug Therapy in the Elderly
L. Michael Prisant and Laura Lyngby Mulloy

Part V: Special Populations

Attitudes Regarding Hypertension Among Older African-American Adults
Wallace R. Johnson, Jr. and Elijah Saunders

Treatment of Hypertension in the Elderly Patient With Diabetes
James R. Sowers and L. Michael Prisant

Management of Hypertension in Older Patients With Arthritis
Sumeska Thavarajah and William B. White

Part VI: Adherence

The Clinician's Role in Improving Therapeutic Adherence and Blood Pressure Control in Older Hypertensive Patients
Brent M. Egan and Eni C. Okonofua

Index
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Review quote

"The authors provide a comprehensive review of clinical trials of pharmacologic therapies conducted in elderly patients for treatment of hypertension and results of nonpharmacologic approaches that have important roles in prevention and as adjuvant therapy. The reviews are current, and many tables and figures have been reproduced from landmark publications to augment textual descriptions." -Annals of Internal Medicine

"..a comprehensive in-depth review of the literature, making it a useful reference for clinicians and clinical investigators."
- American College of Physicians

"This is a splendid treatise on hypertension in the elderly. The flow of the chapters is superb. The authors are all conservative in their viewpoint and never dogmatic or parochial. The writing is concise and lucid and the references are well chosen and well cited. The illustrations underscore the points as well. The is a most thoughtful and useful effort." - Doody's Health Sciences and Book Review Journal


"...a fine book." -American Journal of Cardiology
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