A 70-year-old man has isolated systolic hypertension. On examination, his blood pressure is 170/80 mm Hg, heart and lungs are normal. He has no other medical conditions.For patient with high blood pressure, select the most appropriate medication
Correct Answer: thiazides
Description: Thiazides seem to work particularly well in Blacks and the elderly. Younger individuals and Whites respond well to beta-blockers, ACE inhibitors, and calcium channel antagonists. Isolated systolic hypertension is a common occurrence in the elderly. It is due to arteriosclerosis of the large arteries. Treatment of isolated systolic hypertension with low-dose thiazides results in lower stroke rates and death. The goal for treatment is a blood pressure of 140/90 mm Hg.
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