The treatment of hypertension in the elderly features and prescribed drugs

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Treatment of hypertension in the elderly

Hypertension is a functional disease, the main etiological factor is psychoemotional overstrain, leading first to the excitability of the apparatus that regulates blood pressure in the cerebral cortex, then to the hypothalamic centers, and ultimately to a disorder in the regulation of vascular tone. Factors that maintain high blood pressure are included a second time.

According to the classification of WHO experts, they distinguish (by etiology) essential, primary hypertension and secondary (symptomatic).
Hypertension, resulting from the development of a pathological process in the heart, great vessels, kidneys, endocrine glands, in the central nervous system, which is only 1 of the few symptoms of these diseases, is called symptomatic.

The proportion of symptomatic (secondary) hypertension is 10-30% among all cases of increased blood pressure. The term “hypertension” was introduced into the clinical practice of G.F. Langom.

Foreign clinicians prefer to call primary arterial hypertension an essential hypertension, defining it as a disease of unknown etiology, in which an increase in blood pressure is not associated with primary organ changes. The question often arises whether to consider an increase in blood pressure at the age of 50–70 years a manifestation of age-related changes or a pathological process.

It is explained by disagreements among clinicians about the dependence of the level of blood pressure on age. Domestic scientists and foreign researchers believe that blood pressure (both systolic and diastolic) gradually rises after 50 years.

Increased systolic pressure up to 200 mm RT. Art. at this age is an extreme variant of the norm. However, it is impossible to admit unconditionally that with age, blood pressure naturally reaches high numbers. Based on a survey of large population groups in various regions of the country (North Caucasus, Moscow, Leningrad, Central Asia, Stavropol, etc.), most domestic clinicians showed that blood pressure only increases slightly with age.

Mass examinations of people 80 years and older, conducted by the Institute of Gerontology back in 1965, showed a tendency to increase mainly systolic blood pressure. When examining long-livers (90 years and older), they did not show high blood pressure.

According to the WHO, for older people (60–89 years), the normal physiological level of systolic blood pressure is considered to be 160 mm Hg. Art., diastolic – 95 mm RT. Art. Higher blood pressure is classified as a “threatened” condition.

One of the features of hypertension in the elderly, old people is a long, slowly progressing course. This is regarded as a relatively benign manifestation of this pathology. High blood pressure is often detected by accident, subjective complaints are expressed mildly and are not typical.

There is no clear correspondence between the level of blood pressure, the severity of the disease and the severity of subjective sensations. Hypertension in older age groups is usually characterized by poverty of clinical symptoms. In contrast to middle-aged patients, the elderly and old patients present few complaints characteristic of this disease.

They have a relatively less pronounced tendency to typical headaches. The most commonly observed weakness, fatigue, often unsteady gait, noise in the head and ears. Patients talk about vague pain in the heart. It should be noted a lesser severity, variety and intensity of subjective symptoms.

The long course of hypertension contributes to the formation of compensatory-adaptive mechanisms, thanks to which patients feel satisfactory, despite pronounced organic changes in the cardiovascular and other systems, due to both age and the development of atherosclerosis.

Hypertension in the elderly

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Doctors consider hypertension in elderly patients to be a particularly insidious disease. Elderly people pay less attention to symptoms than middle-aged hypertension. Many old people have already given up on themselves. They don’t have enough enthusiasm to go to the doctor, take medicine, follow the recommendations for lifestyle correction.

The first manifestations of hypertension are usually headaches, sleep disturbances, “flies” in front of the eyes. Elderly people often “write off” them to their age, fatigue. Indeed, when the disease is just beginning, then a short rest helps to relieve symptoms.

Then they no longer pass and become chronic. We remind you that hypertension without treatment increases the risk of heart attack, stroke and renal failure several times, and also shortens a person’s life due to increased “wear” of blood vessels and internal organs.

Doctors discussing elderly hypertension often talk about “working pressure” – blood pressure at which the patient feels normal, even if it is considered elevated by the standards. The concept of “working pressure” is a dangerous fallacy. Any tonometer readings above 140/90 mm. Hg. Art. require medical intervention if the patient wants to live.

What are the symptoms of the latent course of hypertension in the elderly? In addition to headaches and nightmares, these are:

  • Groundless anxiety, irritability.
  • Redness of the face.
  • Sensation of “pulsation” in the head.
  • Sweating, chills.
  • Memory impairment, decreased performance.
  • Sudden increased heart rate.

These conditions require immediate medical attention. Visit a cardiologist, a therapist, even if you still do not feel a problem, but simply pressure measurements show an increase.

Why is it important to diagnose and treat hypertension as early as possible? Irreversible damage to the heart, kidneys, brain (stroke), eye and blood vessels can develop due to high blood pressure. Due to the increased load, the heart rapidly wears out and heart failure develops if the patient has not been “covered” with myocardial infarction before.

Untreated hypertension quickly leads to a “vicious cycle.” Due to increased pressure, blood vessels narrow. The narrower the lumen in the vessels, the stronger the heart rises blood pressure. When hypertension disrupts the blood supply to the kidneys, they begin to secrete substances that increase blood pressure more.

Life expectancy may be reduced by 10-15 years. Stress provokes a rise in blood pressure, worsens the course of hypertension. Try to eliminate irritants from your life. Learn to use techniques for relaxation: yoga, meditation, massage. Useful walks or more active physical education in the fresh air.

Elderly people often have isolated systolic hypertension (ISH). This means that only the “upper” systolic blood pressure is elevated. Hypertension requires a special approach from a cardiologist. With ISH, the doctor does not always set himself the goal of lowering the patient’s blood pressure to normal.

If an elderly person has coronary artery disease, then blood pressure is reduced by no less than 10-15% of the initial, but no more than 30%. Otherwise, problems may arise due to a deterioration in the blood supply to the heart.

Experts recommend striving to reduce systolic blood pressure in elderly patients:

  • 20 mm. Hg. Art. – if it was in the range of 160-180 mm. Hg. Art.
  • To a level of less than 160 mm. Hg. Art. – if initially it exceeded 180 mm. Hg. Art.

If an elderly person does not have time to develop coronary heart disease, then he can bring blood pressure to indicators below 140/90. If it is within normal limits, then life expectancy will be maximum.

The effect of pathology on the body

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The organism of people of older age groups is characterized by a mismatch between the clinical manifestations of the disease and the functional changes recorded in special studies. Along with the apparent clinical benignness of the course of hypertension, significant functional disorders in various organs and systems are revealed.

With increased blood pressure in the elderly, there is a pronounced lesion of the aorta, coronary vessels, myocardium (with heart rhythm disturbance). They have a much greater degree than young and middle-aged patients, myocardial contractility decreases.

Pronounced changes in the elastic-viscous properties of large arterial vessels occur – it is expressed in an increase in the propagation velocity of the pulse wave through the vessels of elastic and muscle type. Significant changes are defined in other organs and systems.

Renal plasma flow decreases, nitrogen excretory function of the kidneys deteriorates, lung ventilation and lipid metabolism are impaired, and the level of procoagulants rises. Inhibition of the anticoagulant system with a decrease in fibrinolytic activity is noted.

Hypertensive crises in elderly and senile patients are observed much less frequently than in young, middle-aged patients, and are less painful. In crises in most patients, pronounced dizziness, nausea, and headache come to the fore. In persons with chronic coronary and cerebral circulatory failure during exacerbations, exacerbation may occur.

Functional and morphological changes in various organs and systems with hypertension confirm that it is one of the factors leading to premature aging, aging of the body. In elderly and old patients, angina, myocardial infarction, stroke and other complications more often occur.

Causes of Hypertension

Pressure in the elderly, arises from the transformation of veins, blood vessels and small arteries. The body is aging, many organs are no longer able to work intensively and distill the blood throughout the cardiovascular system. Change in the body in the age group:

  • Hypertrophy of the vascular wall;
  • Circulatory disturbance;
  • Cardiac output decreases;
  • Changes in the kidneys;
  • Heart rate is reduced;
  • Upper blood pressure rises;
  • The volume of extracellular fluid increases.

Changes, of course, lead to an increase in blood pressure (BP), and sometimes lead to the appearance of a hypertensive crisis. We must not forget about concomitant diseases. Pathologies of blood vessels, heart, kidneys – are a source of high systolic blood pressure.

The main reason for hypertension in old age is the so-called retribution for neglecting one’s health in youth. It is known that our body wears out with age, vital processes slow down, the activity of hormones decreases, the walls of blood vessels become thinner and their lumen decreases.

All this is the cause of arterial hypertension in the elderly. The causes of arterial hypertension include:

  1. Stress.
  2. Obesity.
  3. Incorrect food.
  4. Taking medications and dietary supplements that affect blood pressure, including hormonal contraceptives.
  5. The consequences of serious illness.

Often arterial hypertension occurs in the process of age-related restructuring of the body, menopause in women.

With the aging of the body, the cardiovascular system changes structurally and functionally. In the heart:

  • cavities of the left atrium and left ventricle increase;
  • valve rings: mitral and aortic;
  • the compliance of the left ventricle is reduced;
  • the diastolic filling of the left ventricle is disturbed (earlier filling is reduced and filling is increased during the period of atrial systole).
  • the length and diameter of the aorta increases;
  • thicken the walls of the aorta;
  • elasticity decreases;
  • pulse wave speed increases;
  • GARDEN is increasing.

With histophysiological changes:

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Chronic fatigue, insomnia, the appearance of “flies” in front of the eyes – these first manifestations of hypertension do not always alarm the patient. At the initial stage of the disease – symptoms rarely appear, and disappear after a short rest.

With the transition of the disease into a chronic form, the symptoms manifest themselves more and more often, and without timely treatment can lead to heart failure, heart attacks, strokes, and significantly reduce life expectancy.

Therefore, you need to pay attention to the occurrence of unpleasant symptoms:

  • Feelings of causeless anxiety, irritability;
  • The appearance of sweating, chills;
  • Facial redness;
  • A sharp deterioration in memory and reduced performance;
  • Sensation of incomprehensible “pulsation” in the head;
  • Unexpected heart rate and heartbeat.

The manifestation of any of the conditions is an occasion for an immediate visit to the doctor, especially if the pressure indicators are increased. What pressure is considered dangerous? Patients from 40 to 60 years of age need medical attention if the pressure is over 140/90 mm Hg, people over 60 should be alarmed if the indicators are over 150/90 mm Hg. Art.

It is important to diagnose and start treatment as soon as possible, because due to increased pressure, irreversible changes in the kidneys, brain, heart, eye and blood vessels are actively developing.

In this state, the load on the heart increases, the heart wears out, which can lead to acute heart failure. Acute hypertension disrupts the blood supply to the kidneys, and they begin to secrete a special substance that contributes to an even greater increase in pressure. All these troubles significantly reduce the patient’s life.

How to measure blood pressure

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It is important to measure the pressure accurately. To obtain reliable results, the following rules must be observed:

  1. Measurement is often carried out while sitting in a comfortable position, resting on the back of a chair, in a calm comfortable environment at room temperature, after resting for at least 5-10 minutes.
  2. An hour before the measurement, it is necessary to exclude the intake of food, tonic drinks (coffee or strong tea); do not drink alcohol, do not smoke for about 1,5-2 hours;
  3. The hand should be conveniently located on the table next to the chair, lie still. The cuffed shoulder should be at heart level. It is not recommended to put a cuff on the fabric of clothing, it is forb >%D0%9A%D0%BB%D0%B0%D1%81%D1%81%D0%B8%D1%84%D0%B8%D0%BA%D0%B0%D1%86%D0%B8%D1%8F 4 - The treatment of hypertension in the elderly features and prescribed drugs

According to generally accepted WHO standards, there are:

  1. Primary and secondary hypertension, combining endocrine, renal, neurogenic, hemodynamic and drug.
  2. Diastolic or systolic.

Stage of severity of the disease:

  • I stage. The pressure is stored on the bracket 140-160/90-100; usually after a short rest Blood pressure normalizes;
  • II stage. 160-180/100-110; high blood pressure stays steady, but angina pectoris, hypertensive crisis may occur;
  • III stage. 180/110, serious condition, Blood pressure can reach 200-230/115-130 mm; the likelihood of heart attacks, strokes is high, irreversible phenomena occur in the heart muscle and brain. Inpatient treatment is indispensable.

If a person first felt symptoms, what should I do and which doctor should I go to? To begin with, measure pressure while sitting. After 5 minutes rest measure again. It is recommended to draw conclusions after a three-time measurement with a tonometer. The lowest rates are considered.

To start the treatment of hypertension in the elderly, you need to understand the mechanism of interaction of the circulatory and cardiac systems. During a systolic contraction of the heart, blood flow is released into the artery, blood pressure rises. It is designated as the “top” by the maximum. Diastolic relaxation of the heart and there is a low rate and is indicated by the “lower”.

In patients, “upper” pressure may increase and be diagnosed as systolic hypertension. In someone, only the “lower” climbs up all the time, while the diagnosis of diastolic hypertension is made. In older people, more often, “upper” and “lower” blood pressure rises. To establish the degree of damage, tests are taken – blood, urine for the detection of glucose, cholesterol, creatinine, potassium.

An electrocardiogram is one of the important indicators of the diagnosis. In addition, echocardiography, an examination of the fundus, ultrasound of the kidneys and adrenal glands, renal arteries are prescribed.

Hypertensive regimen

For an elderly person suffering from hypertension, it is important to follow a rational regimen corresponding to age and state of health. This will help to avoid frequent exacerbations of the disease, sharp rises in blood pressure. Observing the regimen, one should not forget about taking medications.

Antihypertensive (lowering blood pressure) drugs should be taken as recommended by the doctor, and not from case to case or only during periods of poor health. To get up and go to bed always at 1 and at the same time. If you get up, like many elderly people, early, at 6-7 hours, then you should go to bed no later than 21-22 hours.

Try not to watch in the evenings television programs that cause excitement, worries about the fate of the heroes. As a rule, cinema and television films, theatrical performances are repeated in the morning, and it is better to stay in the fresh air before going to bed. If it’s cold outside and you find it difficult to breathe in the cold, shorten the walk to 15-20 minutes.

In the warm season, walk 1,5-2 hours, walk, and then sit on a bench in the park, garden. Due to age-related changes in the heart, lungs, liver, all organs and tissues are worse supplied with oxygen, as a result hypoxia develops – oxygen starvation of tissues.

Arterial hypertension exacerbates this process. Movement activity, morning exercises, on the contrary, improve blood supply to organs and tissues, stimulate metabolic processes. It should only be remembered that those suffering from hypertension need to avoid exercises associated with torso, sharp turns of the head, rapid transitions from horizontal to vertical position.

In these cases, dizziness, loss of consciousness may occur due to a deterioration in the blood supply to vital organs, primarily the brain. When doing gymnastics, spend more time on breathing exercises that improve peripheral circulation, metabolic processes, and lower blood pressure.

It is better to eat 4-5 times a day and little by little, so as not to overload the stomach, salty and spicy should be avoided. It is recommended to have dinner no later than 19 hours, otherwise in a lying person a crowded stomach will put pressure on the diaphragm, which can cause heart pain. I do not advise you to sleep during the day, as daytime sleep can disturb the nighttime and insomnia will appear.

Work on a personal garden plot has a beneficial effect on the body. It makes it possible to combine physical activity with a stay in the fresh air. Avoid work in which you have to stay bent for a long time with your head bowed.

This overloads and injures the spine, and most importantly, disrupts the blood supply to the brain and lungs. Perform such work is necessary, sitting on a bench. You should not work for many hours in a row, through strength. Due to overvoltage, blood pressure rises, and even despite taking antihypertensive drugs, heart failure can develop.

This should be remembered to all gardeners of advanced and senile age. We need to work little by little, with breaks and not in the heat: one and a half – from the strength of two hours in the morning and the same in the evening. Many people suffering from hypertension are sensitive to weather changes.

For several hours, and sometimes for 1-2 days, they anticipate this change in the worsening of their condition — the appearance or intensification of a headache, tinnitus, dizziness, and unpleasant sensations in the heart region.

Indeed, a decrease or increase in barometric pressure, temperature, changes in air humidity, and increased wind adversely affect the nervous and cardiovascular systems of older people. They do not have time to quickly adapt to weather changes.

Blood pressure begins to “jump”, the load on the heart and blood vessels increases, the blood supply to the brain, heart, and kidneys is disturbed. When receiving information on upcoming weather changes on television, you need to adjust the mode in accordance with the doctor’s advice: reduce physical activity, eat easily digestible food, do not overwork, and spend more time in the fresh air.

And finally, the last recommendation: about taking a bath and shower. Gerontologists have studied the effect of hot water on the body of an elderly person. It is a powerful irritant for a huge number of capillaries of the skin, subcutaneous tissue and muscles. As a result, the heart has to work with a greater load, the pulse quickens, blood pressure rises.

Therefore, you can stay in the bath for no more than 5-7 minutes, and the water temperature in it should be no higher than 36-37 degrees. It is advisable that at this time someone else is at home. Do not lock the bathroom!

It is better to take a shower while sitting in a special seat mounted on the bath. A warm shower in the evenings improves a night’s sleep, and taken in the mornings after a morning physical exercise creates vivacity and good mood. It is advisable to mount a handrail into the wall above the bathtub, which you can hold by lifting from the seat, and put a terry towel under your feet on the bathroom floor so as not to slip and fall.


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Hypertension is diagnosed if the patient has a stable high blood pressure. To make or refute the diagnosis, you need to measure the pressure twice, and preferably three times on different days. If the patient’s pressure “rolls over” or there are signs of damage to internal organs, then the doctor will immediately diagnose hypertension.

In addition to measuring pressure, the doctor will send the patient for blood tests and examinations – ECG and Echocardiography. Blood tests are needed to check the functioning of the kidneys, cholesterol, sugar, thyroid hormones and possible rare causes of secondary hypertension – endocrine diseases.

ECG and echocardiography allow us to assess how well the heart works, whether there was a latent heart attack. A common problem in patients with hypertension is hypertrophy of the left ventricle of the heart, detected by ECG and echocardiography.

Recall that if grade II hypertension is diagnosed (pressure> 160/100 mm Hg), then you need to immediately start taking medication, in addition to changing your lifestyle. Moreover, it is better to prescribe a powerful combination drug containing 2-3 active substances in 1 tablet.

If the pressure is from 140/90 to 160/100 mm RT. Art. (hypertension of the I degree), then the prescription of drugs is at the discretion of the doctor. If the patient has other risk factors for heart attack and stroke, in addition to hypertension, then it is better to take medications at a pressure of 140/90 to 160/100 mm Hg. Art. Starting to be treated with pills, you can later refuse them, if the transition to a healthy lifestyle helps to control hypertension without drugs.

Heart attack and stroke can make a person disabled. Therefore, it is better to make sure of them, taking medications for hypertension. Modern drugs have only minor side effects.

Treatment of hypertension in the elderly

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For the treatment of hypertension in the elderly, a slightly different approach is used compared to younger patients. It is not surprising: the older the person, the more health problems he has, especially noticeable in the functioning of the vascular system. Often, older people need additional specialist advice: a nephrologist, endocrinologist, cardiologist – it all depends on the accompanying ailment.

The main problems of an elderly person are negative changes in the body:

  • Inelasticity of blood vessels.
  • Damage to vascular function in general, a violation of its structure.
  • Weakening of the walls, as a result, a stroke may occur.
  • Narrowing the required vascular lumen.
  • Atherosclerosis.
  • Impaired kidney function.

The list of drugs to reduce blood pressure differs from that intended for those who are young or mature. A different approach to treatment due to significant wear of the body of the first group of patients.

Previously, it was believed that for the older generation, it is not worth using anything from high blood pressure, since the numerous side effects of drugs for hypertension increase the risk of complications. At the moment, the Aesculapius hold a different point of view.

If you choose the right drugs for the treatment of hypertension, their dosage, it is possible to significantly reduce the risk of heart attacks, strokes, hypertensive crises and other vascular problems. The next nuance of treatment is the gradual decrease in pressure (up to 30% of the initial).

Taking drugs in large doses can lower high blood pressure levels too quickly, dramatically, which will negatively affect the work of the brain, heart muscle, and vascular sectors. With pronounced ischemia, high blood pressure should be treated with extreme caution, since a sharp drop in pressure will lead to impaired blood circulation, which will aggravate the course of the disease.

Given the above, it should be understood that self-medication or ignoring elevated blood pressure indicators will have a detrimental effect on the body of an elderly person. The doctor will select the funds that are most suitable in the individual case, recommend a mandatory two-time pressure control.

It should be noted that monotherapy in the case of elderly patients will not be a good option, in advanced cases, only an integrated approach is justified. Treatment with the first medicine for high blood pressure is appropriate only at the initial stages of hypertension, and for older patients the most effective methods are complex. Drugs for pressure are instant and long-acting.


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Drug treatment of arterial hypertension in elderly patients is carried out according to the scheme:

  • To avoid aggravation of cerebral and renal failure, blood pressure is gradually reduced – up to 30%, but no more within a few weeks or months;
  • to prevent orthostatic hypotension after taking the medicine and monitoring treatment, blood pressure is often measured in the standing and lying positions;
  • Initially, drugs (antihypertensive drugs) are prescribed in a low dose, increasing the dosage is carried out carefully and depending on the condition of the patient;
  • kidney function, electrolyte and carbohydrate metabolism are constantly monitored;
  • combine medicines with folk remedies;
  • individually select drugs, taking into account polymorbidity (the presence of concomitant diseases).

Important. In case of arterial hypertension in elderly patients, the plasma renin activity decreases, the walls of the arteries stretch worse, and the general peripheral vascular resistance (OPSS) rises.

The treatment is carried out by diuretics, calcium antagonists (AK), inhibitors of the angiotensin-converting enzyme (ACF). The following list can be taken as a basis:

Medicines are used in doses that are half the norm. Thiazide diuretics can increase cholesterol, wash potassium from the blood. To avoid this, the dose is reduced.

Additional potassium supplements are not recommended for elderly people – this is another reason why diuretics are used in half amounts.

In general, the effect of this group of drugs is based on increased diuresis, which improves pressure indicators due to the decreased amount of fluid in the blood.

Such drugs are especially relevant for isolated systolic type hypertension in elderly patients. The essence of the action of calcium channel blockers is that they improve renal and cerebral circulation, affect the composition of the blood, and have a diuretic effect.

Medicines of this group are recommended for patients with ischemia in combination with high blood pressure. Blockers may vary in duration. Quick-acting drugs can affect heart rate in the direction of its slowdown. For such patients, more prolonged medications are selected.

They are used in small doses or completely abandon such drugs in the treatment of high blood pressure in elderly people with asthma, heart, pulmonary diseases, and other chronic ailments.

Often their use is necessary when replacing diuretics, if the medications are categorically not suitable for the patient. Beta blockers are thought to affect weight gain and potency. Although there is a drug that, on the contrary, increases an erection.

About it will be discussed below. As for oncology, the occurrence of which seems to be provoked by these drugs, studies have not confirmed this.

Medications are often prescribed to diabetics. They help with progressive kidney damage, when the body ceases to cope with the regulation of pressure. ACE inhibitors improve the mood of elderly patients, having a beneficial effect on brain activity.

Here is a list of the best blood pressure medications for the elderly (with virtually no side effects).

  • Hypothiazide.
  • Veroshpironom (preserves potassium in the body).
  • Furosemide.
  • Triamterenom.

A medicine called Indapamide is popular, but possible side effects (allergies, lactose intolerance) should be considered. In defense of this remedy, it is worth saying that it has a prolonged action, is generally well tolerated, it is recommended for people with endocrine pathologies.

In the case of Veroshpiron it is important to observe the dosage, improper use of the product can cause hormonal failure, impaired potency.
The following calcium blockers are popular:

As for ACE inhibitors, drugs are used:

  • Captopril.
  • Zokardis.
  • Lisinopril.
  • Enalapril
  • Prestarium.
  • Kizinopril.

Captopril is the most common drug in this group. It improves cardiac blood flow, prevents blood clots, but requires strict control of pressure. It has contraindications and side effects in the form of tachycardia, dizziness due to a sharp drop in pressure. For older people, the medicine should be taken under medical supervision.

Also from this group should be allocated Lisinopril, which stably reduces pressure, has a long-term effect on the body. Especially useful for elderly patients after a heart attack, with diabetes, heart failure.

With hypertension in the elderly, beta-blockers are used:

These drugs are accused of reducing potency, but a 1-n drug, on the contrary, raises it – Nebilet. The most modern group of drugs for pressure in the elderly are sartans. The most popular drug in this group can be called losartan.

It is highly active, prevents the occurrence of vascular spasm, practically has no side effects. In addition to it, drugs of this group are presented:

All of them are highly effective in the case of the necessary decrease in high blood pressure. But in order to avoid side effects, groups of drugs combine: diuretics with b-blockers or calcium blockers, calcium antagonists with ACE inhibitors, combine alpha and beta blockers.

With a heart attack, angina pectoris, doctors practice combinations of calcium antagonists and beta-blockers to lower blood pressure in the elderly, and in diabetics, the second component of the regimen is ACE inhibitors. Diuretics in various combinations are actively used in renal and heart failure.


The help of traditional medicine can also be very appropriate if a consultation was held with a specialist who gave the green light to its use. Its undoubted plus is also that medicinal plants and other methods used in traditional medicine act gently, reducing pressure gradually, and this is exactly what a person of advanced years needs.

  1. Continuous consumption of green tea helps bring blood pressure to normal.
  2. The same effect is noticeable in grape juice, or grapes themselves.
  3. Strawberries also help, especially when taken regularly.
  4. Grapefruit.
  5. Med.
  6. Walnuts.

These goodies, included in the regular diet, will help restrain the jumps in blood pressure. In addition, you can take a tincture of wild rose, motherwort or hawthorn. All of them have a pronounced therapeutic effect of heart disease.

As for recipes, knowing the benefits of certain products, they can easily be prepared on their own. For example, a mixture of honey and walnuts (1 to 5) will help not only restrain the development of hypertension, but also significantly increase immunity, improve overall well-being.

It is also advised to drink cinnamon with kefir (one teaspoon per glass of kefir), this option is also suitable for those who have problems with the digestive system or are overweight. Warm baths, especially by the end of the day, will also help to normalize blood pressure indicators, and even more soundly fall asleep and calm the nerves.

It is enough to lie in warm water for about 10 minutes in order to get a positive effect. In water, you can add a decoction of mint, yarrow or St. John’s wort. It is worth noting that any prescription of traditional medicine is just an addition to the doctor’s prescriptions, in no case should you self-medicate and try to bring your blood pressure indicators back to normal at home, especially when it comes to an elderly person.

Any initiative can have sad consequences. It is best and most reliable to trust an experienced doctor, while carefully monitoring any changes in your health yourself. Here are a few recipes for herbal infusions, decoctions effective in treating hypertension in the elderly.

  1. Horse chestnut flowers, raspberries and rosemary shoots, as well as heather with motherwort are taken in equal shares. All this must be brewed and insisted together for 15 minutes.
  2. Useful collection of chokeberry with motherwort, thyme and mint.
  3. You can combine in one broth mountain ash with wild rose, licorice root, St. John’s wort and hops, yarrow. Boil the herbs for 5 minutes, then insist for half an hour. You need to drink one spoonful before meals.
  4. An excellent result will give an infusion of birch leaves with lingonberries, hawthorn and St. John’s wort, oregano and lemon balm.

Do not forget that you can’t give up medication, you can’t see a doctor.

The danger of self-medication

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It is very important that a qualified specialist select the therapy and drugs. In no case should you use recipes for self-medication, which were prescribed to patients with a similar diagnosis. Pills and other drugs are selected by the doctor individually after a thorough examination.

Selection of a medicine is a very complex process, because the entire course of treatment depends on the correct choice of a medicine. At high pressure, tablets are selected by trial and sometimes even by mistake. That is why it is important to constantly monitor the condition of an elderly patient.

If the tablets do not give results for 2 weeks, then it is important to tell the doctor about this, and he will replace the medicine or the whole treatment regimen. The same goes for side effects. Properly selected drug therapy will effectively eliminate hypertensive crises and pressure surges.

Elderly people are constantly at risk, because pressure, if not lowered, can cause stroke and a number of other serious diseases. That is why every person aged 50 years and older should know what medicines can quickly normalize their condition with high pressure.

Ambulances for hypertensives are provided by such drugs as:

The tablets begin to act within 10 minutes after ingestion, while they do not need to be swallowed, but rather put under the tongue. If the hypertensive crisis was caused by stress, neurotropic drugs that have hypnotic and sedative effects can be used in treatment.

The most common medications that a doctor prescribes for older patients are:

These drugs act on the vessels of the brain and reduce its tone, thereby normalizing the pressure. During treatment, you need to constantly measure your pressure and, at the slightest deviation from the norm, let the doctor know. This will allow you to choose the right dose of certain drugs.

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When deciding whether to resort to drug therapy for hypertension, it is necessary to consider both positive and negative aspects of such treatment. It is imperative that you tell your doctor about any side effects and that he can review the treatment regimen if necessary.

Some of the side effects of antihypertensive drugs are listed below.

  1. Depression – often caused by beta-blockers, reserpine, methyldopa, and clonidine.
  2. Fatigue – often caused by beta-blockers, reserpine, methyldopa, and clonidine.
  3. Impotence and other types of sexual dysfunction – often caused by beta-blockers, methyldopa, and many other drugs used in the treatment of cardiovascular diseases.
  4. Dizziness – as a result of orthostatic hypotension with a sharp rise from a sitting or lying position, which can lead to falls and fractures – is often observed with any antihypertensive drugs, especially in the case of guanitidine, prazosin and methyldopa.

In older people, this side effect is observed more often, due to a decrease in the compensatory capabilities of the cardiovascular system with age.

There are other side effects that may occur when taking any antihypertensive drugs. If you experience any side effect, or if you just felt worse, report this to your doctor.

It is often preferable to have a slightly increased blood pressure without any side effects from taking medications than low blood pressure against the background of serious negative reactions of the body to taking medications, which can seriously impair the quality of life.

Sanatorium rehabilitation

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To prevent hypertensive crisis and the development of complications from hypertension, elderly patients are often offered spa treatment. After all, at home, patients are often lazy to follow the doctor’s recommendations and do not follow the appropriate regimen and procedures.

Sanatorium treatments include:

  • Special diet;
  • Therapeutic baths (radon, carbon dioxide, sulfide);
  • Oxygen cocktail treatment;
  • Phyto- and aromatherapy sessions;
  • Physical therapy classes.

To support health, procedures are prescribed with electrical pulses (laser therapy, electrosleep, electrophoresis) – this helps to reduce blood pressure, normalize heart function, kidney and brain function.

Sanatorium procedures are carried out necessarily together with the medication prescribed by the doctor. The set of procedures is determined taking into account the age of the patient and the characteristics of the disease.


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Prevention of hypertension is to control risk factors. Moreover, the older a person becomes, the more attention needs to be paid to a healthy lifestyle. The forces and time that used to be spent on building a career and material wealth should be redirected to maintaining health.

  • consume salt no more than 2-3 g per day, even for healthy people;
  • exercise 5-6 times a week – at least walking, and if health allows, then jogging;
  • consume alcohol moderately – in terms of pure alcohol, not more than 24 g per day for men and 12 g for women;
  • increase the proportion of plant foods – green vegetables that are on the list of allowed for a low-carbohydrate diet.

You need to strive to lose weight and stably maintain normal weight. However, a method has not yet been invented to achieve this goal. Nevertheless, preventive measures reliably protect even people who are overweight or clinically obese from hypertension.

The complications of hypertension are mainly affected by people who do not know that they have high blood pressure and therefore are not treated. At the national health level, prevention consists of regularly measuring the pressure of all adults.

Whoever has it will be elevated – send to a doctor, prescribe treatment. This is called screening. It is advisable to cover as much as possible% of the adult population.
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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.