Category Archives: hypertension

November issue of Age and Ageing journal out now

Reblogged from the BGS Blog

The November 2013 issue of Age and Ageing, the journal of the British Geriatrics Society is out now.

full table of contents is available here, with editorials, research papers, reviews, short reports, case reports book reviews and more. Hot topics this issue include:

  • Screening for dementia
  • Cancer screening in later life
  • Diagnostic accuracy of temperature measurement
  • Dysphagia in patients with hip fracture
  • The Cochrane Collaboration and Geriatric Medicine

The Editor’s Pick can be read here.

This issue’s free access papers are:

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Hypertension in people with dementia – what should we do?

Tomas Welsh is a Clinical Lecturer in the Medicine of Older People at the University of Nottingham, England. (First blogged on the BGS blog)

Antihypertensive therapy is effective even in the oldest old. However, the large trials of antihypertensive medications, even in older people, frequently excluded people with dementia. This causes difficulties in applying these findings to many of our typical patient group.

People with dementia are more likely to be physically frail, are at higher risk of adverse events due to polypharmacy and are more likely to experience orthostatic hypotension than their cognitively intact peers.  There is reason to suspect, therefore, that the risk-benefit ratio of treating hypertension may be different in this group and many clinicians intuitively feel this to be the case.   Continue reading