Hipotensión en anciana hipertensa con Parkinson: caso clínico

The need for treatment of hypertension in the elderly population is a demonstrated fact, with a reduction of risk of cardiovascular disease. However, approaching this problem is frequently a complicated task since these patients have their own characteristics: together with structural and functional deterioration of the cardiovascular system and its neurohumoral regulation mechanisms, there are altered pharmacokinetics and multiple pharmacotherapy and comorbidity in the elderly. We present the case of an elderly hypertense female patient with Parkinson's disease, who suffers episodes of hypotension with fainting. These episodes, in relationship with their neurological pathology and the drugs used for their treatment, have made it necessary to conduct a careful study and gradual and not very aggressive modification of the antihypertensive treatment.