Ten most important things to learn from the ACCF/AHA 2011 expert consensus document on hypertension in the elderly

@article{Aronow2012TenMI,
  title={Ten most important things to learn from the ACCF/AHA 2011 expert consensus document on hypertension in the elderly},
  author={Wilbert S. Aronow and Maciej Banach},
  journal={Blood Pressure},
  year={2012},
  volume={21},
  pages={3 - 5}
}
Abstract The American College of Cardiology Foundation/American Heart Association 2011 Expert Consensus Document on Hypertension in the Elderly has been published in the Journal of the American College of Cardiology and in Circulation, and will be published in the Journal of the American Society of Hypertension and the Journal of Geriatric Cardiology. This document has also been developed in collaboration with the American Academy of Neurology, the American Geriatrics Society, the American… 
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33 Citations
Background Citations
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Methods Citations
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Results Citations
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33 Citations

Citation Type

Citation Type

Commentary on recent guidelines for treating hypertension
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These guidelines state that the systolic blood pressure (SBP) should be reduced to 140–145 mm Hg if tolerated in adults aged 80 years and older and I concur with these guidelines.
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  • W. Aronow
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The 2013 European Society of Hypertension guidelines recommended that reducing blood pressure to less than 130/80 mm Hg in adults at high risk for cardiovascular events was unsupported by prospective trial data.
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Lipids, blood pressure and kidney update 2014.
What Should the Blood Pressure Goal Be in Patients with Hypertension Who Are at High Risk for Cardiovascular Disease?
TLDR
Studies on patients with coronary artery disease, diabetes, chronic kidney disease, stroke, and heart failure are discussed, supporting a blood pressure goal of < 140/90 mm Hg in patients aged < 80 years who are at high risk for cardiovascular events.
What should the optimal blood pressure goal be in patients with diabetes mellitus or chronic kidney disease
TLDR
Recommendations are made that the blood pressure should be reduced to less than 140/90 mm Hg in adults younger than 80 years with diabetes mellitus or chronic kidney disease and hypertension in adults aged 80 years and older and on the basis of data from the Hypertension in the Very Elderly trial.
What should the optimal blood pressure goal be in patients with diabetes mellitus or chronic kidney disease?
  • W. Aronow
  • Medicine
    Archives of medical science : AMS
  • 2012
TLDR
I concur with the following guidelines on hypertension in the elderly, which recommended that the blood pressure should be reduced to less than 140/90 mm Hg in adults younger than 80 years with diabetes mellitus or chronic kidney disease and hypertension.
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References

SHOWING 1-10 OF 24 REFERENCES
ACCF/AHA 2011 expert consensus document on hypertension in the elderly: a report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents.
TLDR
The reader should view the expert consensus document as the best attempt of the ACCF and document cosponsors to inform and guide clinical practice in areas where rigorous evidence may not yet be available or evidence to date is not widely applied to clinical practice.
Current place of beta-blockers in the treatment of hypertension.
TLDR
The current knowledge on application of beta-blockers in patients with hypertension is summarized and the most recent guidelines of the European Society of Hypertension (2009) on beta- blockers applications are discussed.
What should be the optimal levels of blood pressure: does the J-curve phenomenon really exist?
TLDR
It seems that in high-risk patients with hypertension, it is necessary to carefully select those who might suffer adverse events and those who may benefit from intensive BP lowering, because this may be associated with more cardiovascular events.
Cardiovascular drug therapy in the elderly: benefits and challenges
TLDR
The high prevalence of polypharmacy among older adults with cardiovascular disease, coupled with age-associated physiological changes and comorbidities, provides major challenges in adherence and avoidance of drug-related adverse events.
Why and how we should treat elderly patients with hypertension?
  • W. Aronow
  • Medicine
    Current vascular pharmacology
  • 2010
TLDR
The goal of treatment of hypertension in older persons is to decrease the blood pressure to < 140/90mm Hg and to <130/80 mm Hg in older Persons with diabetes or chronic renal disease and in persons with associated medical conditions depends on their medical conditions.
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report.
TLDR
The most effective therapy prescribed by the most careful clinician will control hypertension only if patients are motivated, and empathy builds trust and is a potent motivator.
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report.
TLDR
The most effective therapy prescribed by the most careful clinician will control hypertension only if patients are motivated, and empathy builds trust and is a potent motivator.
Treatment of hypertension in patients 80 years of age or older.
TLDR
The results provide evidence that antihypertensive treatment with indapamide (sustained release), with or without perindopril, in persons 80 years of age or older is beneficial.
Hypertension in adults across the age spectrum: current outcomes and control in the community.
CONTEXT Data are sparse regarding current rates of hypertension treatment and control, and risks associated with hypertension, among persons older than 80 years. OBJECTIVE To determine the…
Effects of reduced sodium intake on hypertension control in older individuals: results from the Trial of Nonpharmacologic Interventions in the Elderly (TONE).
TLDR
A reduced sodium intake is a broadly effective, nonpharmacologic therapy that can lower BP and control hypertension in older individuals.
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