Cardiovascular & Hematological Agents in Medicinal Chemistry

Title:Lifestyle Changes and Surgical Treatment for Hypertension in the Elderly

Volume: 12Issue: 3

Author(s):Montserrat B. Duran-Salgado and Alberto F. Rubio-Guerra

Affiliation:

Keywords:Denervation, elderly, exercise, hypertension, lifestyle, sodium.

Abstract: Hypertension is a major cardiovascular risk factor that increases morbidity and mortality in the elderly because,numerous factors contribute to development and progression of hypertension in elderly patients, including excessive saltintakes, obesity, physical inactivity and stress.

Hypertension treatment usually results in a combination of both, pharmacologic and non-pharmacologic measures. Theselatter are an essential part of treatment and cannot be replaced by the medication. Non pharmacologic management knownas lifestyle modifications has a pivotal role in non-hypertensive and hypertensive individuals. In case of non-hypertensiveor pre-hypertensive patients it can prevent hypertension development and in hypertensive people it has the capacity tolower blood pressure levels as well as modify cardiovascular complications.

Older people tend more often to treatment resistance so it is increasingly necessary to have other therapeutic resources forpatients with difficult control of disease. Minimally invasive techniques are developing that might improve the course ofthe disease and prevent its complications by a more extended time.In this chapter, we will review components of nonpharmacologicaltreatment of hypertension focusing on the geriatric patient.

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B. Duran-Salgado Montserrat and Rubio-Guerra Alberto F., Lifestyle Changes and Surgical Treatment for Hypertension in the Elderly, Cardiovascular & Hematological Agents in Medicinal Chemistry 2014; 12 (3) .https://dx.doi.org/10.2174/1871525713666150310110650