Treatment of high blood pressure in elderly and octogenarians: European Society of Hypertension statement on blood pressure targets.

Details

Serval ID
serval:BIB_878BB4E4C120
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Treatment of high blood pressure in elderly and octogenarians: European Society of Hypertension statement on blood pressure targets.
Journal
Blood pressure
Author(s)
Kjeldsen S.E., Stenehjem A., Os I., Van de Borne P., Burnier M., Narkiewicz K., Redon J., Agabiti Rosei E., Mancia G.
ISSN
1651-1999 (Electronic)
ISSN-L
0803-7051
Publication state
Published
Issued date
12/2016
Peer-reviewed
Oui
Volume
25
Number
6
Pages
333-336
Language
english
Notes
Publication types: ARTICLE
Publication types: JOURNAL ARTICLE
Publication Status: ppublish

Abstract
The European Society of Hypertension recommend the following main rules for treatment of hypertension in elderly and octogenarians: 1) In elderly hypertensives with SBP ≥ 160 mmHg there is solid evidence to recommend reducing SBP to between 140 mmHg and 150 mmHg. 2) In fit elderly patients less than 80 years old treatment may be considered at SBP ≥ 140 mmHg with a target SBP < 140 mmHg if treatment is well tolerated. 3) In fit individuals older than 80 years with an initial SBP ≥ 160 mmHg it is recommended to reduce SBP to between 150 mmHg and 140 mmHg. 4) In frail elderly patients, it is recommended to base treatment decisions on comorbidity and carefully monitor the effects of treatment. 5) Continuation of well-tolerated antihypertensive treatment should be considered when a treated individual becomes octogenarian. 6) All hypertensive agents are recommended and can be used in the elderly, although diuretics and calcium antagonists may be preferred in isolated systolic hypertension.

Pubmed
Create date
24/09/2016 10:54
Last modification date
20/08/2019 14:46
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