Adding a New Medication Versus Maximizing Dose to Intensify Hypertension Treatment in Older Adults

LettersFebruary 2022Adding a New Medication Versus Maximizing Dose to Intensify Hypertension Treatment in Older AdultsTatsuya Fujikawa, MD, PhDTatsuya Fujikawa, MD, PhDMitoyo General Hospital, Kanonji, JapanSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L21-0748 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR: Aubert and colleagues' findings (1) are important for practicing continuous hypertension treatment in elderly patients. However, I have 2 concerns about their follow-up on hypertension. The authors state, “At least 1 follow-up [systolic blood pressure (BP)] measurement was available … .” Are they referring only to ambulatory measurements, or did they include home measurements? If both ambulatory and home measurements were used for data assessment, individuals' BP might have been evaluated inappropriately because of the difference between these types of measurements (2). Therefore, either ambulatory or home measurement alone should have been used.Judging the effect on ...References1. Aubert CE, Sussman JB, Hofer TP, et al. Adding a new medication versus maximizing dose to intensify hypertension treatment in older adults. A retrospective observational study. Ann Intern Med. 2021;174:1666-73. [PMID: 34606315] doi:10.7326/M21-1456 LinkGoogle Scholar2. Myers MG, Kaczorowski J. Are automated office blood pressure readings more variable than home readings. Hypertension. 2020;75:1179-83. [PMID: 32200678] doi:10.1161/HYPERTENSIONAHA.119.14171 CrossrefMedlineGoogle Scholar3. Boubouchairopoulou N, Ntineri A, Kollias A, et al. Blood pressure variability assessed by office, home, and ambulatory measurements: comparison, agreement, and determinants. Hypertens Res. 2021;44:1617-24. [PMID: 34599293] doi:10.1038/s41440-021-00736-9 CrossrefMedlineGoogle Scholar4. Brouwers S, Sudano I, Kokubo Y, et al. Arterial hypertension. Lancet. 2021;398:249-61. [PMID: 34019821] doi:10.1016/S0140-6736(21)00221-X CrossrefMedlineGoogle Scholar5. Modesti PA, Morabito M, Massetti L, et al. Seasonal blood pressure changes: an independent relationship with temperature and daylight hours. Hypertension. 2013;61:908-14. [PMID: 23381792] doi:10.1161/HYPERTENSIONAHA.111.00315 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Tatsuya Fujikawa, MD, PhDAffiliations: Mitoyo General Hospital, Kanonji, JapanDisclosures: The author has reported no disclosures of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L21-0748. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAdding a New Medication Versus Maximizing Dose to Intensify Hypertension Treatment in Older Adults Carole E. Aubert , Jeremy B. Sussman , Timothy P. Hofer , William C. Cushman , Jin-Kyung Ha , and Lillian Min Adding a New Medication Versus Maximizing Dose to Intensify Hypertension Treatment in Older Adults Carole E. Aubert , Jeremy B. Sussman , Timothy P. Hofer , William C. Cushman , Jin-Kyung Ha , Lillian Min Metrics February 2022Volume 175, Issue 2Page: W15-W16KeywordsElderlyGeriatric careHealth careHospital medicineHypertensionPreventive medicineTreatment guidelinesVeteran care ePublished: 15 February 2022 Issue Published: February 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...