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Previous Volume 357:789-796 August 23, 2007 Number 8 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 68-year-old accountant visits his physician. He was told a year earlier that his blood pressure was somewhat elevated and was advised to reduce salt intake and increase physical activity. Otherwise he has been in good health and has no history or signs of cardiovascular or renal disease. On physical examination, his blood pressure is 178/72 mm Hg, with no clinically significant . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Evaluation

Evidence Supporting Treatment of Isolated Systolic Hypertension

Management

Lifestyle Changes

Drug Treatment

Strategies for Improving Blood-Pressure Control

Guidelines

Areas of Uncertainty

Conclusions and Recommendations

Source Information

From the Department of Medicine, Boston University Medical Center, Boston.

Address reprint requests to Dr. Chobanian at the Department of Medicine, Boston University Medical Center, 650 Albany St., Boston, MA 02118, or at achob@bu.edu.

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Isolated Systolic Hypertension in the Elderly
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This article has been cited by other articles:

• Williams, B. (2008). The year in hypertension.. J Am Coll Cardiol 51: 1803-1817 [Full Text]  
• Hoffman, I., Kapoor, J. R., Chobanian, A. V. (2007). Isolated Systolic Hypertension in the Elderly. NEJM 357: 2307-2309 [Full Text]  
• Rosenberger, C., Rosen, S., Heyman, S. N., Bellomo, R., Kellum, J. A., Bagshaw, S. M., Abuelo, J. G. (2007). Normotensive Ischemic Acute Renal Failure. NEJM 357: 2204-2206 [Full Text]