Abstract

A number of physiologic alternations in the cardiovascular, renal and neural regulatory functions occur with the aging process [1--3]. One of the consequences of these changes is a failure to maintain arterial pressure within acceptable limits [1]. Two types of hypertension develop in the elderly population: commensurate elevation of systolic and diastolic blood pressure or isolated systolic hypertension. Isolated systolic hypertension can be defined as a systolic pressure of greater than 159 mmHg with a diastolic pressure less than 90 mmHg [4]. Table 1 summarizes the classification of arterial hypertension by arterial pressure levels. It should also be kept in mind that pseudohypertension -i.e. higher blood pressure measured by cuff than by direct intra arterial line

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