This review summarizes approaches to managing hypertension in octogenarians based on guidelines of international expert organizations.
McManus and coauthors found that patients with hypertension at risk of cardiovascular disease who were randomly assigned to self-monitor their blood pressure and self-titrate their medication reduced their systolic blood pressure more than did patients who were randomized to the usual care cohort.
In the report from the panel members appointed to the Eighth Joint National Committee (JNC 8), the guideline authors provide evidence-based recommendations for the management of hypertension including specific goals by age, race, and comorbidities.
Thom and coauthors conducted a randomized trial of 2004 participants in India and Europe with or at high risk of established cardiovascular disease (CVD) to assess whether a fixed-dose combination of aspirin, statin, and 2 antihypertensive agents vs usual care improved adherence to therapy and 2 major CVD risk factors. Gaziano comments in an editorial.
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