Considerations for Optimal Blood Pressure Goals in the Elderly Population: A Review of Emergent Evidence

Pharmacotherapy
Diana X Cao, Rebecca J C Tran

Abstract

Recent hypertension clinical trials and national guideline updates have created a debate on the most appropriate treatment goals in elderly patients with hypertension. In 2014, recommendations by the Eighth Joint National Committee allowed a more lenient goal for patients 60 years and older compared with previous guidelines. Since then, several large clinical trials and meta-analyses have added more information regarding strict versus lenient treatment goals. Most recently, the American College of Cardiology and American Heart Association Task Force published their highly anticipated hypertension guideline developed in conjunction with nine additional interdisciplinary organizations. This review discusses the culmination of emerging data to provide more insight into the treatment of hypertension in the elderly. A literature search was conducted using PubMed, the Cumulative Index of Nursing and Allied Health, the Cochrane database, and by hand-searching references from relevant articles. The following key terms were used: hypertension, blood pressure, systolic, and elderly. Available literature suggests that it is reasonable to target an office systolic blood pressure of less than 130 mm Hg in elderly patients with hypertension....Continue Reading

References

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Citations

Mar 21, 2018·Postgraduate Medical Journal·Jochanan E Naschitz
Mar 29, 2019·Circulation Research·Stephen B HarrapJohn Chalmers
Apr 1, 2020·Aging Clinical and Experimental Research·Giulia RivasiAndrea Ungar

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