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October 10, 1994Archives of Internal Medicine228 citations

Impact of the treatment of isolated systolic hypertension on behavioral variables. Results from the systolic hypertension in the elderly program

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Why the study?

Does active antihypertensive drug therapy reduce cognitive, emotional, and physical function and leisure activities in older persons with isolated systolic hypertension?

Population

4736 persons aged 60 years and older with isolated systolic hypertension

Comparison

Active antihypertensive drug therapy vs Matching placebo

Design

RCT, randomized, double-blind

Follow-up

average of 5 years

Key result

Active antihypertensive treatment of isolated systolic hypertension did not cause deterioration in cognition, emotional state, physical function, or leisure activities over 5 years.

Authors

WAWilliam B. Applegate

Discussion

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Overview

Supports treating isolated systolic hypertension in older adults; extends long-term safety data for cognition and function.

Study Design

Type

RCT (n=4,736)

Blinding

Double-blind

Randomization

randomized

Multicenter

Yes

Structured PICO

Does active antihypertensive drug therapy reduce cognitive, emotional, and physical function and leisure activities in older persons with isolated systolic hypertension?

P
Population
4736 persons aged 60 years and older with isolated systolic hypertension (systolic blood pressure 160 to 219 mm Hg, diastolic blood pressure <90 mm Hg)
I
Intervention
Active antihypertensive drug therapy (Step 1: chlorthalidone 12.5 to 25 mg; Step 2: atenolol 25 to 50 mg, or reserpine 0.05 to 0.10 mg if atenolol contraindicated)
C
Comparator
Matching placebo
O
Outcome
Impact of drug treatment on measures of cognitive, emotional, and physical function and leisure activitiespatient reported

Medical treatment of isolated systolic hypertension in older adults does not cause deterioration in cognition, emotional state, physical function, or leisure activities.

Cite This Study

William B. Applegate (1994) conducted an RCT in isolated systolic hypertension (n=4,736). active antihypertensive drug therapy vs. matching placebo was evaluated on measures of cognitive, emotional, and physical function and leisure activities. Active antihypertensive treatment of isolated systolic hypertension did not cause deterioration in cognition, emotional state, physical function, or leisure activities over 5 years.

synapsesocial.com/papers/6a0ede29218372ada647cad2https://doi.org/10.1001/archinte.154.19.2154
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