Guidelines for blood pressure (BP) treatment initiation and targets have been developed
based on evidence from randomized controlled trials (RCTs). A definition of 140/90
for older adults is generally adopted.
1
Recent reviews suggested a target of 130/80 based on RCTs.
2
Optimal control of BP reduces risk of cardiovascular disease morbidity and mortality;
3
however, few RCTs include older adults that are representative of those living in
the community with multimorbidity, frailty, cognitive impairment, or varying degrees
of dependency in the long-term care setting.To read this article in full you will need to make a payment
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References
- Developing hypertension guidelines: An evolving process.Am J Hypertens. 2014; 27: 765-772
- The 2017 U.S. Hypertension Guidelines: What is important for older adults?.J Am Geriatr Soc. 2018; 66: 1062-1067
- Recommendations for treating hypertension: What are the right goals and purposes?.JAMA. 2014; 311: 474-476
- Variability in repeated blood pressure measurements as a marker of frailty.J Nutr Health Aging. 2018; 22: 1122-1127
- Geriatric syndromes, multimorbidity, and disability overlap and increase health care use among older Chinese.BMC Geriatr. 2018; 18: 147
- A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans.J Nutr Health Aging. 2012; 16: 601-608
Article info
Publication history
Published online: September 15, 2020
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© 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
