Geriatric cardiology experts have identified new guidelines regarding the high blood pressure values of the elderly in the summer
The parameters of high and low pressure in the elderly could be different from those considered until now optimal by the scientific community.
From the works of the recent National Seminar of the Italian Society of Geriatric Cardiology, whose seventh edition was staged in Rome on June 8th and 9th, came a novelty that puts into question what has until now been considered true on the subject.
According to the most innovative guidelines, to establish the optimal pressure values one should consider the biological age more than the one that appears on the identity card.
According to SIGCe experts, it would also be necessary to implement a softer therapeutic approach during the summer period. This implies, in practice, the fact of reviewing the dosages of the therapies.
According to specialists, the risk otherwise would be to exaggerate and increase the likelihood that patients will experience hypertension or cases of excessively low blood pressure.
To give some numbers on the values, it should be remembered that the latest geriatric cardiology guidelines speak of a maximum arterial pressure of 150 as a perfect parameter for the over 65s.
For the 80s, on the other hand, a maximum of around 160 is fine. In short, the maximum pressure of 140 traditionally desired for adults, in the case of the elderly, is often too ambitious to achieve.
This is a real change of pace that also considers the possible side effects of drugs. In patients with cognitive problems, excessive lowering of pressure values can for example lead to a worsening of the processes of decline.
The approach to review the dosages of drugs for pressure is particularly necessary at the beginning of the summer because, at this time of the year, pressure drops also affect those who normally do not deal with this issue.
The experts of SIGCe place the accent above all on hypotension – to be more precise it would be necessary to speak of orthostatic hypotension, or rather of the drop in pressure that occurs when one passes from sitting / lying down to a standing position – stating that, especially in the over 80s and in frail elderly, hypertension is an increasingly less central risk factor.
The low blood pressure in these cases must therefore be fought with greater commitment and always remembering that the best therapy is the one that starts from the accurate analysis of the situation of the individual patient who, if physically resistant, can also be medically treated as is done with much more people Young people.