In the year 2000 there were approximately 35 million people in the United States who were 70 years and older. In the year 2030, the number will be approximately 70 million. The world population of the elderly is approxi¬mately 610 million and will grow to approximately 2 billion by 2050. There is an epidemic of heart failure in this aging population. In the United States, heart failure is the most common diagnostic related group in the population over 65. Coronary heart disease and stroke are very common. More than 60% of these individuals have hypertension, which is an important underlying cause of heart failure. Atrial fibrillation, a serious abnormal heart rhythm, is common in the age group 70 to 85; this condition requires treatment with a blood thinner, warfarin, to prevent strokes. The main underlying cause for atrial fibrillation is hypertension.
The prevention of morbidity and mortality in this age group requires the aggressive management of hypertension.
Heart failure has several causes including hypertension, and the prevention and management of heart failure with old and new remedies require a concerted effort and relevant new research.

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