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Control of systolic blood pressure in elderly black patients
Insights
Inadequate systolic blood pressure control in elderly Black hypertensive patients significantly increases hospitalization and mortality risks. While some control is beneficial, overly rigorous systolic blood pressure reduction may also be detrimental.
Area of Science:
- Cardiology
- Geriatrics
- Public Health
Background:
- Hypertension is a prevalent condition in elderly populations, particularly among Black individuals.
- Effective blood pressure management is crucial for preventing cardiovascular events and mortality.
Purpose of the Study:
- To investigate the impact of different systolic blood pressure (SBP) control levels on hypertension-related outcomes in elderly Black patients.
- To determine optimal SBP targets for this demographic.
Main Methods:
- A longitudinal study followed 503 elderly Black hypertensive patients for up to nine years.
- Patients were categorized based on the level of systolic blood pressure control: inadequate, partial, and complete.
Main Results:
- Inadequate SBP control (mean 183.6 mm Hg) was associated with significantly higher rates of hospitalization and mortality compared to partial (mean 151.2 mm Hg) or complete (mean 131.5 mm Hg) control (P < 0.01).
- Complete SBP control showed a significantly higher combined rate of hospitalization and mortality than partial control (P < 0.005).
Conclusions:
- Setting target goals for both systolic and diastolic blood pressure is recommended for elderly Black hypertensive patients.
- However, the study suggests that overly rigorous control of systolic blood pressure may not be beneficial and could potentially increase adverse outcomes.
Abstract:
To study what effect the level of control of systolic blood pressure (SBP) has in elderly persons with systolic-diastolic hypertension, 503 elderly black hypertensive patients were followed up for as long as nine years. The combined rate of hospitalizations and mortality for hypertension-related disorders was significantly (P less than 0.01) higher for the group with inadequate control of SPB (mean, 183.6 mm Hg) than for the group with partial (mean, 151.2 mm Hg) or complete (mean, 131.5 mm Hg) control. The group with complete control of SBP had a significantly (P less than 0.005) higher combined rate of hospitalizations and mortality for hypertension-related disorders than did the group with partial control. This suggests that a target goal for control of systolic as well as diastolic blood pressure should be set for elderly black hypertensive patients. However, the control of SBP should not be to rigorous.