Highlights the undertreatment of systolic hypertension in the elderly despite its known cardiovascular risks.
May warrant greater clinical focus on systolic hypertension in elderly; leaves open optimal targets for very old patients.
High systolic blood pressure represents a challenge for the modern world. Epidemiologists are in the best position to appreciate the importance of systolic hypertension and its cardiovascular consequences. Although the label of hypertension seems to have lower importance in the elderly, and above all in the very old, than in younger people, high systolic and high pulse pressure are risk factors for cardiovascular events and necessitates treatment. Unfortunately, due to indolence and lack of aggressiveness, only a limited fraction of elderly hypertensive patients receives adequate therapy.
No takes yet. Share an insight, caveat, or question.
Casiglia et al. (2009) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: