Intensive blood pressure control in the elderly - Bruce Arroll

Date Published: 
Tuesday, June 13, 2017 - 14:15
Duration: 
15:03

Professor Bruce Arroll discusses the issues around intensive blood pressure control in the elderly. Bruce is a GP in south Auckland and professor of general practice at the University of Auckland.

  

Topics:

  • Standard vs intensive blood pressure control in elderly - is there evidence?
  • SPRINT study participants and general conclusions
  • Practical outcomes for GPs from this study 

Take home messages

  • SPRINT study indicates that intensive blood pressure management greatly reduces cardiovascular complications and deaths in older adults.
  • General tips for prescribing hypertensives for frail patients:
    • Start low and go slow. 
    • Measure BP when people are standing up.
  • Consider performing extra testing for electrolyte issues esp with Chlorthalidone, which is an effective diuretic but alters sodiums and potassiums.
  • Encourage lifestyle based approaches not just medication; exercise, sodium restriction, low alcohol use,  quitting smoking.

Clinician Resources

  

Presenter

Dr Bruce Arroll
Prof. General Practice

To contact Bruce Click here.

 

  

 

This podcast episode is supported by Pharmac

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