Intensive Blood Pressure Treatment in Adults Aged 60 Years or Older
Authors: Gulistan Bahat, Birkan Ilhan, Asli Tufan, Mehmet Akif Karan
Journal: Annals of Internal Medicine (2017)

Letters15 August 2017Intensive Blood Pressure Treatment in Adults Aged 60 Years or OlderGulistan Bahat, MD, Birkan İlhan, MD, Asli Tufan, MD, and Mehmet Akif Karan, MDGulistan Bahat, MDFrom Istanbul University, Istanbul and Marmara University, Istanbul, Turkey., Birkan İlhan, MDFrom Istanbul University, Istanbul and Marmara University, Istanbul, Turkey., Asli Tufan, MDFrom Istanbul University, Istanbul and Marmara University, Istanbul, Turkey., and Mehmet Akif Karan, MDFrom Istanbul University, Istanbul and Marmara University, Istanbul, Turkey.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L17-0287 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In their valuable systematic review and meta-analysis, Weiss and colleagues (1) reviewed many studies on optimal management strategies for hypertension in older adults. They state that antihypertensive treatment effects in 2 trials (SPRINT [Systolic Blood Pressure Intervention Trial] and HYVET [Hypertension in the Very Elderly Trial]) did not differ according to frailty status. However, according to the second report on SPRINT participants (2), primary composite cardiovascular outcomes and all-cause mortality did not decrease in frail participants (P = 0.06 and 0.05, respectively) or slow gait speed (P = 0.05 and 0.28, respectively) when they received intensive compared with standard ...References1. Weiss J, Freeman M, Low A, Fu R, Kerfoot A, Paynter R, 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;166:419-29. [PMID: 28114673]. doi:10.7326/M16-1754 LinkGoogle Scholar2. Williamson JD, Supiano MA, Applegate WB, Berlowitz DR, Campbell RC, Chertow GM, et al; SPRINT Research Group. Intensive vs standard blood pressure control and cardiovascular disease outcomes in adults aged ≥75 years: a randomized clinical trial. JAMA. 2016;315:2673-82. [PMID: 27195814] doi:10.1001/jama.2016.7050 CrossrefMedlineGoogle Scholar3. Bahat G, İlhan B, Tufan A, Karan MA. Blood pressure goals in functionally limited elderly patients [Letter]. Am J Med. 2017;130:e319-20. [PMID: 28619373] doi:10.1016/j.amjmed.2016.12.045 CrossrefMedlineGoogle Scholar4. Benetos A, Bulpitt CJ, Petrovic M, Ungar A, Agabiti Rosei E, Cherubini A, et al. An expert opinion from the European Society of Hypertension–European Union Geriatric Medicine Society Working Group on the Management of Hypertension in Very Old, Frail Subjects [Editorial]. Hypertension. 2016;67:820-5. [PMID: 26975708] doi:10.1161/HYPERTENSIONAHA.115.07020 CrossrefMedlineGoogle Scholar5. Benetos A, Labat C, Rossignol P, Fay R, Rolland Y, Valbusa F, et al. Treatment with multiple blood pressure medications, achieved blood pressure, and mortality in older nursing home residents: the PARTAGE study. JAMA Intern Med. 2015;175:989-95. [PMID: 25685919] doi:10.1001/jamainternmed.2014.8012 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Istanbul University, Istanbul and Marmara University, Istanbul, Turkey.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L17-0287. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoBenefits and Harms of Intensive Blood Pressure Treatment in Adults Aged 60 Years or Older Jessica Weiss , Michele Freeman , Allison Low , Rochelle Fu , Amy Kerfoot , Robin Paynter , Makalapua Motu'apuaka , Karli Kondo , and Devan Kansagara Intensive Blood Pressure Treatment in Adults Aged 60 Years or Older Jessica Weiss and Devan Kansagara Metrics Cited byGeriatricians' perspective on findings from the STEP and the SPRINT trials with a special focus on their similarities and differencesTreating Hypertension in Older Adults in Light of the Recent STEP Trial: Can We Implement the Findings in Geriatric Practice?Hypotension Under Antihypertensive Treatment and Incident Hospitalizations of Nursing Home Residents 15 August 2017Volume 167, Issue 4Page: 288KeywordsBlood pressureElderlyFrailtyHypertensionMortalityRisk managementStiffnessSystematic reviewsSystolic pressureWalking ePublished: 15 August 2017 Issue Published: 15 August 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...