Key result
Antihypertensive medication use increased over 9 years, improving blood pressure control (<140/90 mm Hg) from 37% at baseline to 49%, though half of participants remained uncontrolled.
Cohort (n=5,888)
Yes
Absolute Event Rate: 49% vs 37%
While BP control improved in older adults during the 1990s, half remained uncontrolled and guideline-preferred agents were underused.
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Suboptimal BP control persists in older adults despite increased medication use; leaves open whether addressing underuse of preferred agents improves outcomes.
Psaty et al. (2002) conducted a cohort in High blood pressure (n=5,888). Antihypertensive medications vs. Baseline (1989-1990) was evaluated on Control of blood pressure to levels lower than 140/90 mm Hg. Antihypertensive medication use increased over 9 years, improving blood pressure control (<140/90 mm Hg) from 37% at baseline to 49%, though half of participants remained uncontrolled.