Cardiovascular prevention in elderly hypertensive patients: recommendations vs reality

Because of the aging of the population, we have more and more elderly adults, therefore there is an increase in cardiovascular diseases and consequently a greater number of hypertensive patients.

The elderly HTN patient with stiff arteries and high systolic BP, they are stroke prone. The international guidelines say to aim for BP targets of SBP 130/139mmHg and DBP 80-89mmHg and in several studies its mentions that the lower the better, but it is essential that we individualize the patient. It´s very important to understand the fragility of the patient. (Clinical Frailty Scale or FRAIL Questionnaire)

The lecture focused on the importance of guideline recommendations, choice of drugs, MOA of indapamide and stroke/mortality protection, along with better adherence.