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

Ebola Brings Sickness, Fear, Anger

Cornell University Professor Stacey Langwick considers cultural, social aspects of outbreak More

British Fighters On Frontline of ISIS Information War

It’s estimated that several hundred British citizens are fighting for Islamic State alongside other foreign Jihadists More

Violent Quarantine Clashes Hamper Liberia's Struggle to Contain Ebola

Anger, misinformation and mistrust of government hampering efforts to contain the deadly virus 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.
Gaza Conflict, Hamas Popularity Challenge Abbasi
X
Scott Stearns
August 21, 2014 9:20 PM
The Palestinian unity government of Mahmoud Abbas has failed to convince Hamas to agree to Egyptian-negotiated terms with Israel on a Gaza cease-fire. VOA State Department Correspondent Scott Stearns reports on what the Gaza conflict means for President Abbas, with whom U.S. officials have worked for years on a two-state solution to the Israeli-Palestinian conflict.
Video

Video Gaza Conflict, Hamas Popularity Challenge Abbas

The Palestinian unity government of Mahmoud Abbas has failed to convince Hamas to agree to Egyptian-negotiated terms with Israel on a Gaza cease-fire. VOA State Department Correspondent Scott Stearns reports on what the Gaza conflict means for President Abbas, with whom U.S. officials have worked for years on a two-state solution to the Israeli-Palestinian conflict.
Video

Video Nigeria's 'Nollywood' Movie Industry Rolls in High Gear

Twenty years after its birth in a video shop in Lagos, Nigeria's "Nollywood" is one of the most prolific film industries on earth. Despite low budgets and whirlwind production schedules, Nigerian films are wildly popular in Africa and industry professionals say they hope, in the future, their films will be as great in quality as they are in quantity. Heather Murdock has more for VOA from Lagos.
Video

Video UN Launches 'Biggest Aid Operation in 30 Years' in Iraq

The United Nations has launched what it describes as one of the biggest aid operations in 30 years in northern Iraq, as hundreds of thousands of refugees flee the extremist Sunni militant group calling itself the Islamic State. As Kurdish and Iraqi forces battle the Sunni insurgents, the fighting has forced more people to flee their homes. Kurdish authorities say the international community must act now to avert a humanitarian catastrophe. Henry Ridgwell reports for VOA from London.
Video

Video Cambodian American Hip Hop Artist Sings of Personal Struggles

A growing underground movement of Cambodian American hip hop artists is rapping about the struggles of living in urban America. Most, if not all of them, are refugees or children of refugees who came to the United States from Cambodia to escape the Khmer Rouge genocide of the 1970s. Through their music, the artists hope to give voice to immigrants who have been struggling quietly for years. Elizabeth Lee reports from Long Beach, California.
Video

Video African Media Tries to Educate Public About Ebola

While the Ebola epidemic continues to claim lives in West Africa, information technology specialists, together with radio and TV reporters, are battling misinformation and prejudice about the disease - using social media to educate the public about the deadly virus. VOA’s George Putic has more.
Video

Video Ferguson Calls for Justice as Anger, Violence Grips Community

Violence, anger and frustration continue to grip the small St. Louis suburb of Ferguson, Missouri. Protests broke out after a white police officer fatally shot an unarmed black teenager on August 9. The case has sparked outrage around the nation and prompted the White House to send U.S. Attorney Eric Holder to the small community of just over 20,000 people. VOA’s Mary Alice Salinas has more from Ferguson.
Video

Video Beheading Of US Journalist Breeds Outrage

U.S. and British authorities have launched an investigation into an Islamic State video showing the beheading of kidnapped American journalist James Foley by a militant with a British accent. The extremist group, which posted the video on the Internet Tuesday, said the murder was revenge for U.S. airstrikes on militant positions in Iraq - and has threatened to execute another American journalist it is holding. Henry Ridgwell has more from London.
Video

Video Family Robots - The Next Big Thing?

Robots that can help us with daily chores like cooking and cleaning are a long way off, but automatons that serve as family companions may be much closer. Researchers in the United States, France, Japan and other countries are racing to build robots that can entertain and perform some simpler tasks for us. VOA’s George Putic reports.
Video

Video In Ukraine, Fear and Distrust Remain Where Fighting has Stopped

As the Ukrainian military reclaims control of eastern cities from pro-Russian separatists, residents are getting a chance to rebuild their lives. VOA's Gabe Joselow reports from the town of Kramatorsk in Donetsk province, where a sense of fear is still in the air, and distrust of the government in Kyiv still runs deep.
Video

Video Five Patients Given Experimental Ebola Drug Said to Be Improving

The World Health Organization has approved the use of experimental treatments for Ebola patients in West Africa. The Ebola outbreak there is unprecedented, the disease deadly. The number of people who have died from Ebola has surpassed 1,200. VOA's Carol Pearson reports on the ethical considerations of allowing experimental drugs to be used.
Video

Video China Targets Overseas Assets of Corrupt Officials

As China presses forward with its anti-graft effort, authorities are targeting corrupt officials who have sent family members and assets overseas. The efforts have stirred up a debate at home on exactly how many officials take that route and how likely it is they will be caught. Rebecca Valli has this report.
Video

Video Leading The Fight Against Islamic State, Kurds Question Iraqi Future

Western countries including the United States have begun arming the Kurdish Peshmerga forces in northern Iraq to aid their battle against extremist Sunni militants from the Islamic State. But there are concerns that a heavily-armed Kurdistan Regional Government, or KRG, might seek to declare independence and cause the break-up of the Iraqi state. As Henry Ridgwell reports from London, the KRG says it will only seek greater autonomy from Baghdad.
Video

Video In Rural Kenya, Pressure Builds Against Female Circumcision

In some Kenyan communities, female genital mutilation remains a rite of passage. But activists are pushing back, with education for girls and with threats of punishment those who perform the circumcision. Mohammed Yusuf looks at the practice in the rural eastern community of Tharaka-Nithi.

AppleAndroid