Why the study?
Recent guidelines and target blood-pressure ranges for hypertension treatment in elderly patients have evolved based on past and current clinical studies.
Does strict blood-pressure control improve outcomes in elderly patients with hypertension?
Does strict blood-pressure control improve outcomes in elderly patients with hypertension?
Recent evidence supports stricter blood pressure targets for healthy elderly patients, while emphasizing personalized goals for frail individuals.
Supports individualized BP targets in elderly hypertension; leaves open optimal thresholds for frail subgroups pending dedicated trials.
This study discusses recent guidelines based on past and current clinical studies regarding hypertension in elderly patients. In the Systolic Blood Pressure Intervention Trial (SPRINT)-Senior study, strict blood-pressure control involved a systolic blood pressure of 120 mmHg or less, whereas the strategy of blood pressure intervention in the elderly hypertensive patients (STEP) study defined an acceptable systolic blood pressure as 110-130 mmHg. Because of the SPRINT-Senior and STEP studies, the target blood-pressure range for hypertension treatment in the elderly has become more rigorously controlled than previously. Based on recent well-designed clinical studies, it is recommended for healthy elderly individuals to maintain a systolic blood pressure below 140/90 mmHg. Frail elderly individuals might require personalized and tailored blood-pressure management.
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Sang‐Ho Park (2023) studied this question.
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