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Elderly
Is the treatment of hypertension different in elderly? Generally, the target for treatment should be at lower levels in the elderly. This is because, the elderly have greater risk factors and thus would benefit from therapy, and eventually would result in lower incidence of myocardial infarction and heart failure.
Diabetics
One of the areas where treatment of hypertension has shown immense benefit is in diabetics. Aggressive treatment of hypertension especially with ACE Inhibitors and AR Blockers is found to retard or even prevent the renal complications of diabetes.
Gestational
A few points must be kept in mind while managing hypertension in pregnancy. Since plasma volume is decreased in pre eclampsia, diuretics must be avoided. The use of ACE inhibitors are associated with fetal death, and so they are avoided. The commonly used drugs are methyldopa and beta blockers.
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