Blood Pressure Targets for Older Patients—Do Advanced Age and Frailty Really Not Matter?

  • Amanda Giffin University of Calgary
  • Kenneth M. Madden UBC
  • David B. Hogan University of Calgary

Abstract

In 2017, Hypertension Canada removed advanced age and frailty as considerations for caution when deciding on intensive therapy in their guidelines for the diagnosis, risk assessment, prevention, and treatment of hypertension in adults. Dementia is not mentioned. In this commentary, we review why advanced age and frailty were removed, and examine what is currently known about the relationship between hypertension and both incident and prevalent dementia. We make the case that the presence of frailty (especially when severe) and dementia should be considered when deciding on intensive therapy in future iterations of Hypertension Canada guidelines.

Author Biographies

Amanda Giffin, University of Calgary

Division of Geriatric Medicine, Department of Medicine, Cumming School of Medicine

Kenneth M. Madden, UBC

Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine

David B. Hogan, University of Calgary

Division of Geriatric Medicine, Department of Medicine, Cumming School of Medicine

Published
2020-03-05
How to Cite
Giffin, A., Madden, K. M., & Hogan, D. B. (2020). Blood Pressure Targets for Older Patients—Do Advanced Age and Frailty Really Not Matter?. Canadian Geriatrics Journal, 23(2), 205-209. https://doi.org/10.5770/cgj.23.429
Section
Commentaries