orthostatic hypertension treatment in elderly

Treatment for geriatric orthostatic hypertension commonly encompasses lifestyle modifications and pharmacotherapy. Patients may require a combination of approaches to manage blood pressure effectively, thereby reducing symptoms and preventing complications.

Regarding lifestyle adjustments, initial recommendations include moderately increasing water and salt intake to boost blood volume and counteract the drop in blood pressure upon standing. Regular engagement in moderate physical activities such as walking, swimming, or cycling can also strengthen cardiovascular health. For those with dehydration-induced orthostatic hypertension, maintaining adequate hydration is crucial. Avoiding prolonged periods of standing or sitting still can further mitigate symptoms. In some instances, donning compression stockings can enhance circulation in the lower limbs and minimize blood pooling in the legs when upright.

Pharmacological treatment involves selecting appropriate medications based on the patient's specific condition and comorbidities. For instance, diuretics may be prescribed for elderly patients with heart failure to alleviate cardiac strain. Caution is necessary when choosing medications for patients with renal insufficiency to prevent further kidney damage. Under the supervision of a physician, patients should initiate any medication to ensure safety and efficacy.

Beyond the aforementioned treatments, regular blood pressure monitoring and symptom documentation are essential for geriatric orthostatic hypertension patients. This practice aids physicians in tracking disease progression and adjusting treatment strategies accordingly. Patients should also avoid sudden standing or rapid positional changes to prevent symptoms like dizziness and vertigo. Persistent or worsening symptoms warrant immediate medical attention for a more comprehensive evaluation and treatment.