Pharmacologic Treatment Of Hypertension In Adults Aged 60 Years Or Older To Higher Versus Lower Blood Pressure Targets
Publication Date: March 1, 2017
Last Updated: March 14, 2022
Recommendations
ACP and AAFP recommend that clinicians initiate treatment in adults aged 60 years or older with systolic blood pressure persistently at or above 150 mm Hg to achieve a target systolic blood pressure of less than 150 mm Hg to reduce the risk for stroke, cardiac events, and possibly mortality. (High, Strong)
ACP and AAFP recommend that clinicians select the treatment goals for adults aged 60 years or older based on a periodic discussion of the benefits and harms of specific blood pressure targets with the patient.
317067
ACP and AAFP recommend that clinicians consider initiating or intensifying pharmacologic treatment in adults aged 60 years or older with a history of stroke or transient ischemic attack to achieve a target systolic blood pressure of less than 140 mm Hg to reduce the risk for recurrent stroke. (Moderate, Weak)
ACP and AAFP recommend that clinicians select the treatment goals for adults aged 60 years or older based on a periodic discussion of the benefits and harms of specific blood pressure targets with the patient.
317067
ACP and AAFP recommend that clinicians consider initiating or intensifying pharmacologic treatment in some adults aged 60 years or older at high cardiovascular risk, based on individualized assessment, to achieve a target systolic blood pressure of less than 140 mm Hg. (Low, Weak)
ACP and AAFP recommend that clinicians select the treatment goals for adults aged 60 years or older based on a periodic discussion of the benefits and harms of specific blood pressure targets with the patient.
317067
Title
Pharmacologic Treatment Of Hypertension In Adults Aged 60 Years Or Older To Higher Versus Lower Blood Pressure Targets
Authoring Organization
American College of Physicians
Publication Month/Year
March 1, 2017
Last Updated Month/Year
January 17, 2024
External Publication Status
Published
Country of Publication
US
Document Objectives
The American College of Physicians (ACP) and the American Academy of Family Physicians (AAFP) jointly developed this guideline to present the evidence and provide clinical recommendations based on the benefits and harms of higher versus lower blood pressure targets for the treatment of hypertension in adults aged 60 years or older.
Target Patient Population
Patient whose age is age 60 years or older with hypertension
Inclusion Criteria
Female, Male, Older adult
Health Care Settings
Ambulatory, Long term care, Outpatient
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Management, Treatment
Diseases/Conditions (MeSH)
D006973 - Hypertension, D005853 - Geriatrics, D001794 - Blood Pressure, D015924 - Blood Pressure Monitors, D000959 - Antihypertensive Agents
Keywords
hypertension, geriatric, high blood pressure
Methodology
Number of Source Documents
60
Literature Search Start Date
January 1, 2015
Literature Search End Date
September 1, 2016