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Upper hypertension limit for healthy over-60s raised.

New guidelines published by the American College of Physicians and the American Academy of Family Physicians recommend that the threshold for treating hypertension in otherwise healthy adults aged >60 years be raised. The current threshold for treatment is a systolic blood pressure reading of 140 mmHg. The new recommendation is that only those aged >60 years with a persistent reading of >150 mmHg should start treatment for hypertension.

The new guidelines are the result of a systematic review of randomised controlled trials and observational studies. Deaths from all causes, together with illnesses, harms and deaths linked to stroke and major cardiac events, were analysed to evaluate the evidence. The evidence did not allow recommendations about diastolic blood pressure targets.

Qaseem A, Wilt TJ, Rich R, Humphrey LJ, Frost J, et al. Pharmacologic treatment of hypertension in adults aged 60 years or older to higher versus lower blood pressure targets: A clinical practice guideline from the American College of Physicians and the American Academy of Family Physicians. Ann Intern Med 2017;166(6):430-437.

B Farham


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Title Annotation:30 days in medicine
Author:Farham, B.
Publication:South African Medical Journal
Article Type:Report
Date:Dec 23, 2017
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