What are the potential implications of heart failure and cardiomyopathy on BP control?
The presence of heart failure or cardiomyopathy may lead clinicians to initiate or diuretics independently of BP treatment. Similarly, angina may be an indication for beta-blockers or calcium-channel blockers. Hypotension (orthostatic or persistent) due to BP-lowering treatment may exacerbate the risk of falls and fractures in the elderly, especially in patients with co-morbidities such as cerebrovas- cular disease, osteoporosis, or vitamin D deficiency.