Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Commentary on: Weiss J, Freeman M, Low A, et al. Benefits and harms of intensive blood pressure treatment in adults aged 60 years or older: a systematic review and meta-analysis. Ann Intern Med 2017;166:419–429.
There has been debate around blood pressure (BP)-lowering targets for older people, with concerns about adverse effects (AEs) such as falls and cognitive changes. The 2014 Eighth Joint National Committee (JNC8) guidelines suggested a less intensive systolic BP (SBP) target of <150 mm Hg for people aged ≥60 years,1 while the 2017 American College of Cardiology/American Heart Association (ACC/ AHA) guidelines recommend target SBP of <130 mm Hg for community-dwelling ambulant adults aged ≥65 years with an average SBP of >130 mm Hg, the same target as those <65 years with high-risk or established cardiovascular disease.2 This change is, in part, because of the strongly positive results seen in elderly participants in the Systolic Blood Pressure Intervention Trial (SPRINT). …
Funding EA was supported by a Postdoctoral Fellowship (ID 101884) from the National Heart Foundation of Australia
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.