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Medicina interna de México
Print version ISSN 0186-4866
Abstract
CRUZ-ARANDA, José Enrique. Management of hypertension in the elderly. Med. interna Méx. [online]. 2019, vol.35, n.4, pp.515-524. Epub Mar 26, 2021. ISSN 0186-4866. https://doi.org/10.24245/mim.v35i4.2444.
Hypertension is a chronic disease of multiple etiology that produces systemic vascular damage and increases morbidity and mortality due to various cardiovascular diseases; in the case of the elderly, blood pressure increases with age due to the aging process as a consequence of changes in stiffness of the arteries, vascular remodeling and changes in the renal and hormonal mechanisms, therefore, it is expected that the incidence of hypertension in the elderly will increase. Because of the characteristics of this age group, the classification and management of this disease have multiple controversy and multiple factors to be taken into account, considering a cornerstone of management the adequacy and individualization of the treatment chosen and having as a key point of treatment the preservation of functionality and independence, taking special care in the adverse effects of the drugs as well as possible drug interactions.
Keywords : Hypertension; Geriatrics.