Why the study?
Hypertension is common among elderly populations and increases morbidity and mortality risks, but optimal systolic blood pressure targets in this group remain to be determined.
Does an intensive SBP target (<130 mmHg) reduce mortality and cardiovascular events in hypertensive patients aged 60 years and older?
Does an intensive SBP target (<130 mmHg) reduce mortality and cardiovascular events in hypertensive patients aged 60 years and older?
In elderly hypertensive patients, an intensive SBP target of <130 mmHg significantly reduces cardiovascular events, heart failure, and stroke, but increases the risk of hypotension.
Supports intensive SBP targets in elderly hypertensives; confirms CV risk reduction in meta-analysis of trials.
Background: Hypertension is a common health issue among elderly populations, substantially increasing morbidity and mortality risks. This meta-analysis aimed to determine optimal systolic blood pressure (SBP) targets in elderly hypertensive patients and their effects on clinical outcomes. Methods: We conducted a systematic search of PubMed, Embase, and the Cochrane Library to identify randomized controlled trials involving antihypertensive therapy in participants aged 60 years and older. Mortality, cardiovascular events, and significant adverse events data were extracted and analyzed using random-effects models. Results: = 0%). Achieving an intensive SBP target in the pooled range less than 130 mmHg reduced the risks of primary outcome events (RR, 0.73; 95% CI, 0.62-0.85), heart failure (RR, 0.57; 95% CI, 0.38-0.84), and stroke (RR, 0.72; 95% CI, 0.53-0.96), though it also led to an elevated risk of hypotension (RR, 1.43; 95% CI, 1.18-1.73). Conclusions: In elderly hypertensive patients, lower SBP targets correlate with improved clinical outcomes, including reduced mortality and cardiovascular events. Nonetheless, the heightened risk of adverse effects underscores the need for careful, individualized treatment strategies. Additional research is warranted to refine these targets and achieve a balance between therapeutic efficacy and safety.
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Park et al. (2025) studied this question.
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