News / Health

Blood Pressure Guidelines Revamped

A man is pictured having his blood pressure checked.
A man is pictured having his blood pressure checked.

Related Articles

Video Mobile Clinics Bring Health Care to South Africa Countryside

Significan lack of medical facilities in rural areas being overcome by new solar-powered initiative

Novel Gene Therapy Reverses Heart Disease in Animals

Researchers poised to begin human clinical trials of therapy to treat a major cause of heart disease by shrinking enlarged hearts

China Investigating New Deadly Bird Flu Strain

Researchers say 73-year-old woman died from new strain called H10N8 shortly after visiting poultry market in Jiangxi Province
VOA News
For the first time in decades, experts have raised the threshold for what is considered dangerously high blood pressure for people aged 60 and over. As a result, patients may be prescribed fewer drugs to treat hypertension.

High blood pressure, or hypertension, is the most common condition seen in primary care and leads to heart attacks, kidney failure, and death if not detected early and treated appropriately.

A government-appointed panel that made the recommendations stressed that they are not changing the definition of high blood pressure, which currently is 140 over 90 but that for adults aged 60 and older, they are recommending a higher treatment threshold, prescribing medicine only when blood pressure levels reach 150 over 90 or higher.

In older people too much high blood pressure medication can cause fainting and falls, the panel said. Furthermore, medication to treat high blood pressure could react negatively with other medications.

For younger patients, treatment recommendations remain unchanged.

"This report takes a rigorous, evidence-based approach to recommend treatment thresholds, goals, and medications in the management of hypertension in adults,” the study says.

According to Paul James, professor and head of family medicine at University of Iowa Hospitals and Clinics and co-chair of the panel making the recommendations, past guidelines from the last several decades “have been based on consensus by experts.”

“These  [recommendations] were based on scientific evidence from randomized controlled trials,” he said. “Expert opinion was used only in the absence of scientific evidence.”

The panel reviewed numerous past studies from January 1, 1966 to December 31, 2009, as well as major, eligible studies that took place between December 2009 and August 2013.

The review focused on adults age 18 and older with hypertension and included studies involving diabetes, coronary artery disease, peripheral artery disease, heart failure, previous stroke, chronic kidney disease, proteinuria, older adults, men and women, racial and ethnic groups, and smokers.

Panelists also looked at methods of controlling high blood pressure, including what medication should be started in patients with hypertension; what blood pressure goal should patients achieve to know they are enjoying proven health benefits from their medication and what are the best medication choices to reach the goal blood pressure.

The recommendations are not without controversy.

According to the Associated Press, the American Heart Association is raising concerns about the new recommendations, saying that many of the studies reviewed didn't last long enough to reveal dangers of undertreated high blood pressure in older patients.

The guidelines were published in the Journal of the American Medical Association.

You May Like

EU Court Fines Poland for Hosting CIA 'Black Sites'

Ruling is first time a court has acknowledged suspects were held and tortured at the sites, under US program launched following the 9/11 terrorist attacks More

Migrant Issues Close to Home Spur Groups to Take Action

Groups placing water, food in the desert, or aiding detainees after release, have one common goal: no more deaths of migrants crossing illegally into the US More

Video At AIDS Conference, Prevention Pill Stirs Excitement

Truveda shows promise, spurring debate over access and other approaches More

This forum has been closed.
Comment Sorting
Comments
     
by: Dexter Carson from: Canberra Australia
December 19, 2013 6:28 PM
Well this old fart of 76 years has been on BP medication for over 30 years. My BP is 120/75 and I attribute survival to my age to this medicated control. It is a bit late to say perhaps I should not have reduced my dosage, AFTER you have the stroke!!


by: thepoliticalcat from: California
December 19, 2013 12:39 PM
20 - 30 minutes per day of moderate to fast-paced exercise (meaning, a walk around the block) will lower your blood pressure as effectively as almost any drug. It will also greatly improve your health and your looks. Instead of advising our elderly to take yet another drug, let's try to teach them healthy habits. They need it just as much as our youth.

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
Treatment for Childhood Epilepsy Heats up Medical Marijuana Debatei
X
Shelley Schlender
July 24, 2014 6:43 PM
In the United States, marijuana is classed as an illegal drug by the federal government. But nearly half the states have legalized it, to some degree. Proponents say some strains of marijuana might have exceptional health benefits, for treating pain or inflammation in chronic conditions such as cancer, multiple sclerosis and epilepsy. Shelley Schlender reports on a strain of medical marijuana developed in Colorado that is reputed to reduce seizures in childhood epilepsy
Video

Video Treatment for Childhood Epilepsy Heats up Medical Marijuana Debate

In the United States, marijuana is classed as an illegal drug by the federal government. But nearly half the states have legalized it, to some degree. Proponents say some strains of marijuana might have exceptional health benefits, for treating pain or inflammation in chronic conditions such as cancer, multiple sclerosis and epilepsy. Shelley Schlender reports on a strain of medical marijuana developed in Colorado that is reputed to reduce seizures in childhood epilepsy
Video

Video Airbus Adds Metal 3D Printed Parts to New Jets

By the end of this year, European aircraft manufacturing consortium Airbus plans to deliver the first of its new, extra-wide-body passenger jets, the A350-XWB. Among other technological innovations, the new plane will also incorporate metal parts made in a 3-D printer. VOA's George Putic has more.
Video

Video Death Toll From Israel-Gaza Conflict Surpasses 700

Gaza officials say a shelling hit a compound housing a United Nations-run school in the Gaza Strip, killing more than a dozen people, during an Israeli offensive in the area. Heavy fighting between the Israeli military and Hamas militants continued on Thursday, pushing up the death toll. So far, more than 730 Palestinians and 35 Israelis have been killed in the conflict. VOA's Scott Bobb has the latest from Jerusalem.
Video

Video AIDS Conference Welcomes Exciting Developments in HIV Treatment, Prevention

Significant strides have been made in recent years toward the treatment and prevention of HIV, the virus that causes AIDS. This year, at the International AIDS Conference, the AIDS community welcomed progress on a new pill that may prevent transmission of the deadly virus. VOA’s Anita Powell reports from Melbourne, Australia.
Video

Video Israel Targets Gaza Supply Tunnels

The Israeli military has launched a ground operation in Gaza to destroy the myriad tunnels that may have been used to smuggle weapons to Hamas. VOA's Zlatica Hoke reports that could mean more hardship for the people of Gaza, who obtain some of their essential supplies through these underground passages
Video

Video Researchers Target Low-Cost Avatar Technology

Scientists at the University of Southern California Institute for Creative Technologies say 3-dimensional representations could revolutionize social media. Elizabeth Lee has more from Los Angeles.
Video

Video IAEA: Iran Turns its Enriched Uranium Into Less Harmful Form

Iran has converted its stockpiles of enriched uranium into a less dangerous form that is more difficult to use for nuclear weapons, according to the United Nations’ Atomic Energy Agency. The move complies with an interim deal reached with Western powers on Iran's nuclear program last year, in exchange for easing of sanctions. Henry Ridgwell reports for VOA from London.
Video

Video In Cambodia, HIV Diagnosis Brings Deadly Shame

Although HIV/AIDS is now a treatable condition, a positive diagnosis is still a life altering experience. In Cambodia, people living with HIV are often disowned by friends, family and the community. This humiliation can be unbearable. We bring you one Cambodian woman’s struggle to overcome a life tragedy and her own HIV positive diagnosis.

AppleAndroid