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3. Recommendations for the treatment of hypertension in the elderly and very elderly--a scotoma within international guidelines

Author

Dischinger S, Thomas Dieterle, Isabella Sudano, Hans Hendrik Schäfer, De Villiers Jn, Peter Zilla, and Gian-Reto Theus

Subjects
Drug, medicine.medical_specialty, Combination therapy, media_common.quotation_subject, Nice, Blood Pressure, Geriatric population, Internal medicine, Medicine, Humans, Antihypertensive Agents, computer.programming_language, media_common, Aged, Aged, 80 and over, business.industry, General Medicine, Evidence-based medicine, Guideline, Review article, Blood pressure, Hypertension, Practice Guidelines as Topic, Physical therapy, Drug Therapy, Combination, business, computer
Abstract

Summary The recommendations of international scientific societies for the treatment of hypertension in the geriatric population are different. Lack of outcome trials, non-standardised terminology as well as differing levels of evidence contribute to the inconsistencies in the guidelines. This review article compares six international guidelines (ESH-ESC 2007/ 2009, SHG 2009, DHL 2008, CHEP 2010, NICE 2011 and JNC7 2003) as well as the consensus document of the ACCF/AHA 2011 in terms of their recommendations of drug classes, target blood pressure values and the use of combination therapy. Generally, antihypertensive therapy appears to be clinically beneficial in geriatric patients. Target blood pressure values of

Published
2012

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