Key result
ACC/AHA guidelines recommend a BP target under 130/80 for ambulatory adults 65 and older.
Management of hypertension in the elderly requires balancing strict blood pressure targets (<130/80 mm Hg) for healthier individuals with individualized, team-based approaches for those with significant comorbidities.
Balancing strict targets in healthier elderly with individualized care for comorbid patients; leaves open optimal implementation strategies.
: The 2017 ACC/AHA hypertension guidelines recommend treatment of noninstitutionalized ambulatory community-dwelling adults aged 65 years and older with an average systolic blood pressure of 130 mm Hg or higher with lifestyle measures plus antihypertensive drug to lower the blood pressure to less than 130/80 mm Hg. For elderly adults with hypertension and a high burden of comorbidities and limited life expectancy, clinical judgment, patient preference, and a team-based approach to assess risk/benefit is reasonable for decisions about the intensity of SBP lowering and the choice of antihypertensive drugs to use for treatment.
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Wilbert S. Aronow (2020) conducted a review in Hypertension. Lifestyle measures plus antihypertensive drugs was evaluated. The 2017 ACC/AHA guidelines recommend treating ambulatory adults aged ≥65 years with systolic BP ≥130 mm Hg to a target of <130/80 mm Hg using lifestyle measures and antihypertensive drugs.
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