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

Sverre E. Kjeldsen, Aud Stenehjem, Ingrid Os, Philippe Van de Borne, Michel Burnier, Krzysztof Narkiewicz, Josep Redon, Enrico Agabiti Rosei, Giuseppe Mancia

Research output: Contribution to journalReview article

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.

Original languageEnglish
Pages (from-to)333-336
Number of pages4
JournalBlood Pressure
Volume25
Issue number6
DOIs
Publication statusPublished - Nov 1 2016

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Keywords

  • blood pressure targets
  • Blood pressure-lowering treatment
  • elderly patients
  • European Society of Hypertension
  • octogenarians

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Kjeldsen, S. E., Stenehjem, A., Os, I., Van de Borne, P., Burnier, M., Narkiewicz, K., Redon, J., Agabiti Rosei, E., & Mancia, G. (2016). Treatment of high blood pressure in elderly and octogenarians: European Society of Hypertension statement on blood pressure targets. Blood Pressure, 25(6), 333-336. https://doi.org/10.1080/08037051.2016.1236329