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June 1, 1989Annals of Internal Medicine

Hypertension in Elderly Patients

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Why the study?

Does antihypertensive drug treatment reduce cardiovascular morbidity and mortality in elderly patients with hypertension?

Population

Elderly patients with hypertension, specifically mild to moderate diastolic hypertension

Comparison

Antihypertensive drug treatment vs No treatment or placebo

Design

Review

Authors

WAWilliam B. Applegate

Discussion

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Overview

May support treatment consideration in elderly diastolic hypertension; leaves open optimal targets and safety in frail subgroups.

Structured PICO

Does antihypertensive drug treatment reduce cardiovascular morbidity and mortality in elderly patients with hypertension?

P
Population
Elderly patients with hypertension, specifically mild to moderate diastolic hypertension
I
Intervention
Antihypertensive drug treatment
C
Comparator
No treatment or placebo (implied from reviewed trials)
O
Outcome
Cardiovascular morbidity and mortalityhard clinical

Treating mild to moderate diastolic hypertension in the elderly significantly reduces cardiovascular mortality, though the absolute risk reduction must be weighed against potential side effects.

Limitations

  • Lack of data from well-designed studies to make a definitive statement about the treatment of isolated systolic hypertension

Cite This Study

William B. Applegate (1989) studied this question.

synapsesocial.com/papers/6a157b39a4734e8e604e4c69https://doi.org/10.7326/0003-4819-110-11-901
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