Beta-blocker Titration
The careful adjustment of beta-blocker dosing in elderly cardiac patients to optimize therapeutic benefit while minimizing adverse effects.
Full Definition
Beta-blocker titration in geriatric cardiology requires special consideration due to age-related changes in drug metabolism and increased sensitivity to cardiovascular medications. The process involves starting with low doses and gradually increasing to achieve target heart rate and blood pressure goals while monitoring for hypotension, bradycardia, and cognitive effects. Elderly patients may require longer intervals between dose adjustments and closer monitoring for signs of heart failure exacerbation or functional decline. The goal is to achieve maximum tolerated dose for optimal cardiovascular protection.
Usage
Usage note: Emphasize the gradual, careful approach required in elderly patients.
In Context
- "Beta-blocker titration was initiated at 25% of the target dose due to the patient's advanced age." — Cardiology consultation
- "The geriatrician recommended slower beta-blocker titration given concerns about orthostatic symptoms." — Medication management plan