Both hypertension and coronary artery disease are common in the geriat
ric population, and a variety of pathogenetic links exist between the
two disorders. In the elderly patient, coronary artery disease is ofte
n asymptomatic and more difficult to recognize clinically. Antihyperte
nsive therapy has been shown to reduce morbidity and mortality from co
ronary artery disease in the elderly to some extent. A more specific a
nd individualized approach is more likely to increase these therapeuti
c benefits.