Hypertension in the Elderly

by Prisant, L. Michael, M.D.; Prisant, Michael L.

• ISBN13: 9781588291974
• ISBN10: 1588291979
• Format: Hardcover
• Copyright: 2005-05-30
• Publisher: Humana Pr Inc

Summary

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.

Table of Contents

Acknowledgments	vi
In Memoriam	vii
Series Editor's Introduction	ix
Preface	xi
Contributors	xix
PART I: BASICS
1 The Importance of Hypertension in the Geriatric Population	3	(8)
Ray W. Gifford, Jr. and L. Michael Prisant
2 Age-Related Changes in the Cardiovascular System	11	(12)
R. Clinton Webb and Edward W. Inscho
3 Aging, Arterial Stiffness, and Systolic Hypertension	23	(12)
Joseph L. Izzo, Jr.
4 Pharmacological and Pharmacodynamic Alterations in the Elderly: Application to Cardiovascular Therapies	35	(18)
Domenic A. Sica
PART II: EPIDEMIOLOGY AND TRIALS
5. Epidemiology of Hypertension in the Older Patient	53	(16)
William B. Kannel and Peter W.F. Wilson
6. Nonpharmacological Trials in the Older Hypertensive Patient	69	(22)
L. Michael Prisant and Dean U. Harrell
7. Clinical Trials of Hypertension in the Older Patient	91	(28)
L. Michael Prisant
PART III: EVALUATION AND MANAGEMENT
8. Blood Pressure Measurement in Older Patients With Hypertension	119	(16)
Jose Ramiro Arias-Vera and William B. White
9. Clinical Evaluation of the Elderly Hypertensive	135	(10)
L. Michael Prisant and Thomas W. Jackson
10. Hypertension in the Elderly: Endocrine Causes of Secondary Hypertension	145	(26)
Carlos M. Isales
11. Diagnosis and Management of Hypertensive Renal and Renovascular Disease in the Elderly	171	(26)
Wanpen Vongpatanasin and Ronald G. Victor
12. Heart Failure in the Older Hypertensive Patient	197	(32)
L. Michael Prisant, Carolyn Landolfo, John Thornton, and Vincent J.B. Robinson
13. Ischemic Heart Disease in the Older Hypertensive Patient: Evaluation and Management	229	(26)
Jan Laws Houghton
14. Cerebrovascular Disease in the Elderly Hypertensive	255	(42)
Fenwick T. Nichols III
PART IV: PHARMACOLOGICAL MANAGEMENT
15. Diuretics and β-Adrenergic Blockers in the Management of Hypertension in the Elderly	297	(24)
William C. Cushman
16. Assessment of the Role of ACE Inhibitors in the Elderly	321	(28)
Domenic A. Sica
17. Use of Angiotensin Receptor Blockers in the Elderly	349	(20)
L. Michael Prisant
18. Clinical Trials With Calcium Antagonists in Older Patients With Hypertension	369	(12)
William B. White and Sumeska Thavarajah
19. α-Adrenoceptor Blockers for Management of Hypertension in the Elderly	381	(18)
James L. Pool
20. Combination Drug Therapy in the Elderly	399	(30)
L. Michael Prisant and Laura Lyngby Mulloy
PART V: SPECIAL POPULATIONS
21. Attitudes Regarding Hypertension Among Older African-American Adults	429	(22)
Wallace R. Johnson, Jr. and Elijah Saunders
22. Treatment of Hypertension in the Elderly Patient With Diabetes	451	(20)
James R. Sowers and L. Michael Prisant
23. Management of Hypertension in Older Patients With Arthritis	471	(22)
Sumeska Thavarajah and William B. White
PART VI: ADHERENCE
24. The Clinician's Role in Improving Therapeutic Adherence and Blood Pressure Control in Older Hypertensive Patients	493	(24)
Brent M. Egan and Eni C. Okonofua
Index	517