Care Is Needed to Apply Hypertension Guidelines to Community-Living Older Adults Aged 60 Years and Over

September 15, 2020

Guidelines for blood pressure (BP) treatment initiation and targets have been developed based on evidence from randomized controlled trials (RCTs). A definition of 140/90 for older adults is generally adopted.1 Recent reviews suggested a target of 130/80 based on RCTs.2 Optimal control of BP reduces risk of cardiovascular disease morbidity and mortality;3 however, few RCTs include older adults that are representative of those living in the community with multimorbidity, frailty, cognitive impairment, or varying degrees of dependency in the long-term care setting.