Why the study?
Should the systolic blood pressure target be <140 mm Hg rather than <150 mm Hg in Black adults aged 60 to 79 years without diabetes or chronic kidney disease?
Cross-Sectional (n=2,757)
Should the systolic blood pressure target be <140 mm Hg rather than <150 mm Hg in Black adults aged 60 to 79 years without diabetes or chronic kidney disease?
Absolute Event Rate: 66.9% vs 75.3%
p-value: p=0.002
The International Society of Hypertension in Blacks recommends maintaining a systolic blood pressure goal of <140 mm Hg for Black adults aged 60-79 years, challenging the 2014 guideline recommendation of <150 mm Hg.
A 2014 hypertension guideline raised goal systolic blood pressure (SBP) from <140 mm Hg to <150 mm Hg for adults 60 years and older without diabetes mellitus (DM) or chronic kidney disease (CKD). The authors aimed to define the status of hypertension in black adults 60 to 79 years from the National Health and Nutrition Examination Survey 2005-2012 and provide practical guidance. Black patients were more often aware and treated (P≤.005) for hypertension than whites and had higher rates of DM/CKD (P<.001), similar control to <140/<90 mm Hg with DM/CKD (P=.59), and lower control without DM/CKD (<140/<90 mm Hg and <150/<90 mm Hg, P≤.01). Limited awareness (<30%) and infrequent health care (>30% 0-1 health-care visits per year) occurred in untreated black and white hypertensive patients without DM/CKD and BP ≥140/<90 mm Hg. The literature suggests benefits of treated SBP <140 mm Hg in adults 60 to 79 years without DM/CKD. The International Society of Hypertension in Blacks recommends: (1) continuing efforts to achieve BP <140/<90 mm Hg in those with DM/CK, and (2) identifying hypertensive patients without DM/CKD and BP ≥140/<90 mm Hg and treat to an SBP <140 mm Hg in black adults 60-79 years.
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Egan et al. (2015) conducted a cross-sectional in Hypertension (n=2,757). Black race vs. White race was evaluated on Hypertension control to <150/<90 mm Hg in adults without diabetes or chronic kidney disease (p=0.002). Black adults aged 60 to 79 years without diabetes or chronic kidney disease had significantly lower rates of hypertension control to <150/<90 mm Hg compared to white adults (66.9% vs 75.3%).
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