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Isolated systolic hypertension in the elderly is elevated systolic blood pressure with normal/low diastolic pressure, due to age-related large-artery stiffening. It is a major cardiovascular risk factor. Treatment: lifestyle modification; low-dose thiazide diuretic or long-acting dihydropyridine CCB; avoid rapid/overly aggressive lowering (diastolic <60-65 mmHg); gradual titration in frail elderly.
Elevated SBP with normal DBP; elderly; arterial stiffening; cardiovascular risk
Stiff large arteries produce isolated systolic hypertension.
Low-dose thiazide/long-acting CCB; gradual titration; avoid over-lowering; lifestyle
Regular BP measurement; treat gradually.
It is recommended to visit the Cardiology department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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