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Management of hypertension in older people

Ahmed H Abdelhafiz1, Rachel Marshall1, Joseph Kavanagh1

  • 1a Department of Geriatric Medicine , Rotherham General Hospital , Rotherham , UK.

Expert Review of Endocrinology & Metabolism
|August 1, 2018
PubMed

Insights

Optimal blood pressure targets for older adults are not well-defined. Individualized goals considering functional status, not just age, are crucial for managing hypertension and improving quality of life.

Area of Science:

  • Gerontology
  • Cardiovascular Medicine
  • Clinical Pharmacology

Background:

  • Hypertension prevalence increases with age, and its treatment reduces cardiovascular risk.
  • Optimal blood pressure targets in older adults remain unclear due to limited research in this demographic.

Purpose of the Study:

  • To review current literature on hypertension management in older individuals.
  • To discuss appropriate blood pressure targets considering the heterogeneity of the aging population.

Main Methods:

  • Conducted a literature search of Medline and Embase databases.
  • Included English-language articles on hypertension management in older people from 1998 to the present.

Main Results:

  • Recent guidelines suggest a blood pressure target below 130/80 mmHg.
  • A universal low target may not suit all older adults due to factors like frailty, falls, dementia, and polypharmacy.

Conclusions:

  • Blood pressure targets should be individualized based on functional level, not solely chronological age.
  • Care plans should prioritize quality of life, adjusting targets for cognitive and physical status.
Abstract

Keywords:
Older peoplehypertensionmanagement

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