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Review

Optimal management of hypertension in elderly patients

Pages 145-153 | Published online: 11 Nov 2010

Figures & data

Table 1 Degree of BP reduction achieved with lifestyle modifications in elderly patients with hypertension

Figure 1 Comparison of intensive versus standard BP lowering on the composite of nonfatal stroke, nonfatal myocardial infarction, and death from cardiovascular disease (primary outcome). Copyright © 2010. Adapted with permission from Massachusetts Medical Society. All rights reserved. Cushman WC, Evans GW, Byington RP, et al., for the ACCORD Study Group. Effects of intensive blood pressure control in type 2 diabetes mellitus. N Engl J Med. 2010;362:1575–1585.Citation30

Figure 1 Comparison of intensive versus standard BP lowering on the composite of nonfatal stroke, nonfatal myocardial infarction, and death from cardiovascular disease (primary outcome). Copyright © 2010. Adapted with permission from Massachusetts Medical Society. All rights reserved. Cushman WC, Evans GW, Byington RP, et al., for the ACCORD Study Group. Effects of intensive blood pressure control in type 2 diabetes mellitus. N Engl J Med. 2010;362:1575–1585.Citation30

Figure 2 Comparison of different BP-lowering regimens in reducing cardiovascular risk in hypertensive patients >65 years old. A) Angiotensin-converting enzyme inhibitor versus diuretic or beta blocker. B) Calcium antagonist versus diuretic or beta blocker. C) Angiotensin-converting enzyme inhibitor versus calcium antagonist. Copyright © 2008. Adapted with permission from BMJ Publishing Group Ltd. Turnbull F, for the Blood Pressure Lowering Treatment Trialists’ Collaboration. Effects of different regimens to lower blood pressure on major cardiovascular events in older and younger adults: meta-analysis of randomised trials. BMJ. 2008;336:1121–1123.Citation23

Figure 2 Comparison of different BP-lowering regimens in reducing cardiovascular risk in hypertensive patients >65 years old. A) Angiotensin-converting enzyme inhibitor versus diuretic or beta blocker. B) Calcium antagonist versus diuretic or beta blocker. C) Angiotensin-converting enzyme inhibitor versus calcium antagonist. Copyright © 2008. Adapted with permission from BMJ Publishing Group Ltd. Turnbull F, for the Blood Pressure Lowering Treatment Trialists’ Collaboration. Effects of different regimens to lower blood pressure on major cardiovascular events in older and younger adults: meta-analysis of randomised trials. BMJ. 2008;336:1121–1123.Citation23