What are the characteristics of the elderly hypertension?

Part of hypertension in the elderly adult hypertension by extension from the other part is a result of atherosclerosis, decreased flexibility, systolic blood pressure increased from. The elderly hypertensive has the following characteristics:
(1) elderly hypertensive blood pressure more volatile, especially the systolic pressure. This is mainly because elderly patients with vascular baroreceptor sensitivity caused by the decline. Therefore, in antihypertensive drug treatment should be regularly measured blood pressure, at any time doses.
(2) elderly hypertensive vulnerable to the effects of changes in body position, orthostatic hypotension higher incidence, particularly in the anti-hypertensive drug therapy easier occurred, which decreased baroreflex sensitivity is related. So should cautiously uses can cause orthostatic hypotension drugs such as guanidine B, a1-blockers, such as furosemide.
(3) As the elderly hypertensive arteriosclerosis prone to false phenomena, such confrontation hypertension drug in patients with hypertension less tolerance, more easily lead to serious adverse reactions and serious complications. At the same time older hypertension speed should not be too fast, and should not drop too low.
(4) elderly hypertensive mainly to higher systolic blood pressure, the greater the danger of heart, a heart failure easier, but also easier to stroke occurred.
(5) the response of the elderly β receptor decreased, β - blockers on the tolerance of better, but still cause bradycardia and the risk of congestive heart failure.
(6) the elderly sympathetic to inhibit blood volume reduction and sensitive, this is probably reflective of cardiovascular damage and the elderly.
(7) hypertension in the elderly anti-hypertensive medication initial dose, dose increase in young patients with hypertension than small, the time interval should be longer than younger patients with hypertension.
(8) the elderly lower nervous system function more vulnerable in the drug treatment of depression, it should avoid using role in the central nervous system of anti-hypertension drugs, such as clonidine, such as methyl dopa.
Therefore, in view of the characteristics of elderly hypertensive patients, the medical profession generally believe that the use of Chinese medicine when dialectical Treatment is the best way to the treatment.