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TREATMENT OF HYPERTENSION IN THE ELDERLY PATIENT
Author(s) -
HOOBLER S. W.
Publication year - 1954
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1954.tb00881.x
Subject(s) - medicine , geriatrics , citation , gerontology , library science , psychiatry , computer science
1. Arteriosclerotic, associated with arteriosclerosis of the large vessels. This is manifested by a wide pulse pressure and usually has a benign prognosis. Treatment is symptomatic only : salt restriction or mild depressor agents often dramatically relieve symptoms without great effect on the blood pressure. 2. “Malignant” hypertension as manifested by rapidly rising blood pressure, papilledema, retinal hemorrhages and exudates, and renal damage. This complication of hypertensive disease is rare in the elderly. As pointed out by Perera (l), it may be the clue to a Goldblatt type of hypertension, with one kidney involved by an arteriosclerotic plaque or, as we have seen recently, by a slowly progressing ureteral obstruction such as that caused by carcinoma or irradiation fibrosis. the elderly should be distinguished :