Journal of Hypertension

Skip Navigation LinksHome > April 2013 - Volume 31 - Issue 4 > Guidelines on guidelines: focus on isolated systolic hypert...
Journal of Hypertension:
doi: 10.1097/HJH.0b013e32835d8230

Guidelines on guidelines: focus on isolated systolic hypertension in youth

O’Rourke, Michael F.a,b; Adji, Audreya,c

Collapse Box


Current guidelines on isolated systolic hypertension (ISH) suggest the same treatment to patients of all ages. Application of these guidelines in youth with ISH may not be appropriate, as presently no data show adverse outcome or benefit of drug therapy in this group. Simple noninvasive tonometric techniques now enable physicians to measure the central aortic pressure waveform and amplification of the pressure pulse. ISH in youth is usually caused by high amplification of the central pressure wave, whereas ISH in the elderly (>age 60) is attributable to aortic stiffening. This is the only group with ISH shown to have an adverse prognosis and to warrant drug therapy.

© 2013 Lippincott Williams & Wilkins, Inc.


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.