Korean J Geriatr Gerontol.
2023 Dec;24(3):100-103. 10.15656/kjcg.2023.24.3.100.
Recent Insights on Blood-Pressure Control Goals and Management for the Elderly
- Affiliations
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- 1Department of Cardiology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea
- KMID: 2566361
- DOI: http://doi.org/10.15656/kjcg.2023.24.3.100
Abstract
- 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.
