What Should the Systolic Blood Pressure Treatment Goal Be in Patients Aged 60 Years and Older with Hypertension?

Author:

Aronow Wilbert S.

Publisher

Springer Science and Business Media LLC

Subject

Geriatrics and Gerontology

Reference46 articles.

1. Lloyd-Jones D, Adams R, Carnethon M, De Simone G, Ferguson TB, Flegal K, et al. Heart disease and stroke statistics-2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2009;119:e21–181.

2. Aronow WS, Ahmed MI, Ekundayo OJ, Allman RM, Ahmed A. A propensity-matched study of the association of PAD with cardiovascular outcomes in community-dwelling older adults. Am J Cardiol. 2009;103:130–5.

3. Aronow WS, Fleg JL, Pepine CJ, Artinian NT, Bakris G, Brown AS, et al. ACCF/AHA 2011 expert consensus document on hypertension in the elderly: a report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. Developed in collaboration with the American Academy of Neurology, American Geriatrics Society, American Society for Preventive Cardiology, American Society of Hypertension, American Society of Nephrology, Association of Black Cardiologists, and European Society of Hypertension. J Am Coll Cardiol. 2011;57:2037–114. This expert consensus document on hypertension in the elderly recommends that systolic blood pressure be lowered to <140 mmHg in older persons < 80 years of age and to 140–145 mmHg, if tolerated, in adults aged 80 years and older.

4. Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Böhm M, et al. ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J. 2013;34:2159–219. These guidelines recommend lowering the systolic blood pressure to < 140 mmHg in patients at low to moderate cardiovascular risk, diabetics, patients with prior stroke or transient ischemic attack, and patients with coronary heart disease or chronic kidney disease. In older patients < 80 years of age with systolic blood pressure ≥ 160 mmHg, the systolic blood pressure should be lowered to 140–150 mmHg, with consideration of <140 mmHg. In patients >80 years of age with systolic blood pressure ≥ 160 mmHg, the systolic blood pressure should be lowered to 140–150 mmHg, provided they are in good physical and mental condition.

5. James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults. Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8). 520. 2014;311:507. These guidelines recommend lowering systolic blood pressure to <150 mmHg in patients ≥ 60 years of age who do not have diabetes or chronic kidney disease and to <140 mmHg in patients with diabetes or chronic kidney disease.

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