Season 3 - Ep.14: : Managing hypertension in the elderly - The digital twin in cardiology

4 snips

Apr 24, 2025

Carlos Aguiar, the host of Cardiology This Week, shares his insights on managing hypertension in elderly patients. He discusses tailored treatment strategies, emphasizing the importance of biological age and health status. The conversation shifts to innovative digital twin technology, revealing how it can personalize diagnostics and improve outcomes in cardiovascular care. Topics also include findings on the TAPI trial for acute heart failure and updated blood pressure guidelines to enhance the quality of life in older adults.

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ADVICE

Treat Fit Elderly Like Younger Adults

Treat fit elderly patients like younger adults with the same blood pressure targets.
Tailor treatment carefully considering tolerability and individual functional status.

ADVICE

Cautious BP Targets in Frail Elderly

Be cautious lowering blood pressure in very old or frail patients.
Aim for BP below 150 mmHg, maybe below 140, but monitor carefully to avoid organ hypoperfusion.

ADVICE

Balance Therapy Based on Frailty

Use combination therapy in elderly for faster, effective BP control.
In very old or frail patients, consider monotherapy with low starting doses and slow titration.

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This episode covers:

Cardiology This Week: A concise summary of recent studies
Hypertension in the elderly
The digital twin in cardiology
Snapshots

Host: Emer Joyce

Guests: Carlos Aguiar, Gianfranco Parati, Nico Bruining, Joost Lumens

Want to watch that episode? Go to: https://esc365.escardio.org/event/1804

Disclaimer:

ESC TV Today is supported by Bristol Myers Squibb and Novartis.

This scientific content and opinions expressed in the programme have not been influenced in any way by its sponsors.

This programme is intended for health care professionals only and is to be used for educational purposes.

The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices.

Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC.

Declarations of interests:

Stephan Achenbach, Nico Bruining, Emer Joyce and Nicolle Kraenkel have declared to have no potential conflicts of interest to report.

Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, BiAL, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, GSK, Lilly, Novartis, Pfizer, Sanofi, Servier, Takeda, Tecnimede.

Davide Capodanno has declared to have potential conflicts of interest to report: Bristol Myers Squibb, Daiichi Sankyo, Sanofi Aventis, Novo Nordisk, Terumo.

Joost Lumens has declared to have potential conflicts of interest to report: research grants from Medtronic (all grants paid to institute, Maastricht University).

Gianfranco Parati has declared to have potential conflicts of interest to report: honoraria for lectures by Omron, Merck, Viatris, Somnomedics.

Steffen Petersen has declared to have potential conflicts of interest to report: consultancy for Circle Cardiovascular Imaging Inc. Calgary, Alberta, Canada.

Emma Svennberg has declared to have potential conflicts of interest to report: Abbott, Astra Zeneca, Bayer, Bristol-Myers, Squibb-Pfizer, Johnson & Johnson.