EM2104C "The Highs and Lows of Blood Pressure Regulation in Older Adults" (IM GR-040921)


The purpose of this presentation is to inform clinicians and investigators about the effect of aging and hypertension on blood pressure regulatory mechanisms, the clinical implications of hypotension in older adults, and the etiology and management of orthostatic and postprandial hypotension.


This talk will cover the physiologic mechanisms of blood pressure regulation, how they are altered by age and hypertension and lead to common hypotensive syndromes. It will also address the impact of hypotension on the brain and how this can cause abnormalities in cognition and mobility. Finally, it will address the etiology and treatment of orthostatic and postprandial hypotension.

Target Audience

UT Southwestern faculty, fellows, residents and medical students, community physicians, nurse clinicians, physician assistants and nurses.

Learning Objectives

At the conclusion of this activity, the participant should be able to:

  • dentify physiologic changes associated with aging that predispose older adults to hypotension.
  • Understand the paradox that hypertension can lead to hypotension, and how the careful treatment of hypertension may reduce the risk of hypotension.
  • Recognize the clinical significance of “white matter hyperintensities” in the brain.
  • Identify common causes of orthostatic and postprandial hypotension.
  • Recommend treatments for orthostatic and postprandial hypotension to their patients.
Course summary
Available credit: 
  • 1.00 AMA
Course opens: 
Course expires: 

Lewis A. Lipsitz, M.D.
Professor of Medicine, Harvard Medical School
Chief Academic Officer & Director, Marcus Institute for Aging Research, Hebrew SeniorLife
Chief, Division of Gerontology, Beth Israel Deaconess Medical Center
The Lorraine Sulkin-Schein Visiting Professorship

Available Credit

  • 1.00 AMA


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