The management of hypertension in the elderly is safer and more effective i
f we consider diurnal fluctuations in blood pressure, preexisting postural
and postprandial hypotension, and coronary risk when setting therapeutic go
als and selecting or adjusting antihypertensive medications. Lifestyle modi
fications should coincide with drug therapy in the management of elderly hy
pertensive patients. The author suggests a checklist of specific considerat
ions when treating hypertension in the elderly.