Belinda Setters, MD, MS, AGSF and Holly M. Holmes, MD, MS
September, 2018
Synopsis
Hypertension (HTN) is very common among adults and is associated with significant morbidity and mortality. HTN should be routinely screened and addressed in primary care practice. Optimal BP targets have evolved in the past decade with the release of large studies including older persons. However, controversy remains regarding the treatment of patients 80 years and older, and those who are frail. The relationship between blood pressure treatment and falls or cognitive impairment is still an area of concern and debate. Ultimately, a strategy to address HTN in older persons needs to consider an individual’s fitness as well as the likelihood of adverse effects and worsening of conditions that adversely impact quality of life.
