Hypertension in the Elderly

ISBN-13: 9781617374180 / Angielski / Miękka / 2010 / 532 str.

L. Michael Prisant

Opis

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.

Recenzje

"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

Spis treści

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

Blurb

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.