Last updated January 13, 2022

Pharmacologic Treatment Of Hypertension In Adults Aged 60 Years Or Older To Higher Versus Lower Blood Pressure Targets

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

Recommendation Grading

Overview

Title

Pharmacologic Treatment Of Hypertension In Adults Aged 60 Years Or Older To Higher Versus Lower Blood Pressure Targets

Authoring Organization

Publication Month/Year

March 1, 2017

Document Type

Guideline

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

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