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Recent Advances in Geriatrics pp 75–82Cite as

Metabolic and Cardiovascular Manifestations of Hypertension in the Elderly

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Abstract

Aging in industrialized societies is associated with an increasing prevalence of hypertension, type II diabetes mellitus, renal disease and atherosclerotic vascular disease. This increase in chronic disease processes in industrialized societies is related, in part, to increasing obesity, reduced physical activity, medications such as non-steroidal anti-inflammatory agents, and other environmental influences. Hypertension in the elderly is characterized by high peripheral vascular resistance, reduced baroreflex sensitivity, a low renin state with reduced cardiac output / increased hypertrophy, reduced intravascular volume, and an increased propensity to salt-sensitivity. Type II diabetes commonly accompanies hypertension in the elderly, in part related to reduction in lean body mass and relative increase in adiposity. Lipid abnormalities are also relatively common in the elderly and should generally be treated in a similar fashion to those in the middle-aged individual.

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Authors and Affiliations

  1. Wayne State University School of Medicine, Detroit, Michigan, 48201, USA

    V. Rajkumar, Luis C. Afonso, Joel Steinberg, Stephen L. Farrow & James R. Sowers MD (Professor of Medicine and Physiology, Director)

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  1. V. Rajkumar
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  2. Luis C. Afonso
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  3. Joel Steinberg
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  4. Stephen L. Farrow
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  5. James R. Sowers MD
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Correspondence to James R. Sowers MD .

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Editors and Affiliations

  1. University of Palermo, Palermo, Italy

    Mario Barbagallo  & Giuseppe Licata  & 

  2. School of Medicine, Wayne State University, Detroit, Michigan, USA

    James R. Sowers

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Rajkumar, V., Afonso, L.C., Steinberg, J., Farrow, S.L., Sowers, J.R. (1998). Metabolic and Cardiovascular Manifestations of Hypertension in the Elderly. In: Barbagallo, M., Licata, G., Sowers, J.R. (eds) Recent Advances in Geriatrics. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1483-5_10

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  • DOI: https://doi.org/10.1007/978-1-4899-1483-5_10

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