Does intensive pharmacologic antihypertensive treatment improve outcomes in hospitalized older adults with elevated blood pressure?
Intensive inpatient blood pressure management in older adults without end-organ damage is associated with increased adverse events and should be avoided pending randomized trials.
The study's findings indicate that among hospitalized older adults with elevated BPs, intensive pharmacologic antihypertensive treatment was associated with a greater risk of adverse events. These findings do not support the treatment of elevated inpatient BPs without evidence of end organ damage, and they highlight the need for randomized clinical trials of inpatient BP treatment targets.
Anderson et al. (2023) studied this question.