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

Video Positive Messaging Helps Revamp Ethiopia's Image

In country once connected with war, poverty, famine, headlines now focus on fast-growing economy, diplomatic reputation More

Russian Activist Thinks Kremlin Ordered Nemtsov's Death

Alexei Navalny says comments of Russian liberals who think government wasn't involved are 'nonsense.' More

Video Land Disputes Rise Amid Uganda Oil Boom

Investors appear to be cashing in by selling parcels of land to multiple buyers 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.
Positive Messaging Transforms Ethiopia's Imagei
X
Marthe van der Wolf
March 03, 2015 9:03 PM
Ethiopia was once known for famine and droughts. Now, headlines more often point to its fast-growing economy and its emergence as a regional peacemaker. How has Addis Ababa changed the narrative? VOA's Marthe van der Wolf reports.
Video

Video Positive Messaging Transforms Ethiopia's Image

Ethiopia was once known for famine and droughts. Now, headlines more often point to its fast-growing economy and its emergence as a regional peacemaker. How has Addis Ababa changed the narrative? VOA's Marthe van der Wolf reports.
Video

Video Cyber War Rages Between Iran, US

A newly published report indicates Iran and the United States have increased their cyber attacks on each other, even as their top diplomats are working toward an agreement to guarantee Iran does not develop a nuclear weapon and to free Iran from international sanctions. The development is part of a growing global trend. VOA’s Al Pessin reports from London.
Video

Video Answers Elude Families of MH370 Passengers

For the families on board Malaysia Airlines flight MH370, an airline official’s statement nearly one year ago that the plane had lost contact with air traffic control at 2:40 AM is the only thing that remains confirmed. William Ide reports.
Video

Video Land Disputes Arise Amid Uganda Oil Boom

Ugandan police say there has been a sharp increase in land disputes, with 10 new cases being reported each day. The claims come amid an oil boom as investors appear to be cashing in by selling parcels of land to multiple buyers. Meanwhile, the people who have been living on the land for decades are chased away, sometimes with a heavy hand. VOA's Serginho Roosblad reports.
Video

Video In Russia, Many Doubt Opposition Leader's Killer Will Be Found

The funeral has been held in Moscow for Boris Nemtsov, the opposition leader who was assassinated late Friday just meters from the Kremlin. Nemtsov joins a growing list of outspoken critics of Russia under the leadership of President Vladimir Putin who are believed to have been murdered for their work. VOA’s Daniel Schearf reports from Moscow.
Video

Video Simulated Astronauts Get Taste of Mars, in Hawaii

For generations, people have dreamed of traveling to Mars to explore Earth's closest planetary neighbor. VOA's Mike O'Sullivan reports that while space agencies like NASA are planning manned missions to the planet, some volunteers in Hawaii are learning how humans will cope with months in isolation on a Mars base.
Video

Video Destruction of Iraq Artifacts Shocks Archaeologists

The city of Mosul was once one of the most culturally rich and religiously diverse cities in Iraq. That tradition is under attack by members of the Islamic State who have made Mosul their capital city. The Mosul Museum is the latest target of the group’s campaign of terror and destruction, and is of grave concern to archaeologists around the world. VOA’s Kane Farabaugh reports.
Video

Video Smartphones May Help in Diagnosing HIV

Diagnosing infections such as HIV requires expensive clinical tests, making the procedure too costly for many poor patients or those living in remote areas. But a new technology called lab-on-a-chip may make the tests more accessible to many. VOA’s George Putic reports.
Video

Video Afghan Refugees Complain of Harassment in Pakistan

Afghan officials have expressed concern over reports of a crackdown on Afghan refugees in Pakistan following the Peshawar school attack in December. Reports of mass arrests and police harassment coupled with fear of an uncertain future are making life difficult for a population that fled its homeland to escape war. VOA’s Ayesha Tanzeem reports from Islamabad.
Video

Video Ukrainian Volunteers Prepare to Defend Mariupol

Despite the ongoing ceasefire in Ukraine, soldiers in the city of Mariupol fear that pro-Russian separatists may be getting ready to attack. The separatists must take or encircle the city if they wish to gain land access to Crimea, which was annexed by Russia early last year. But Ukrainian forces, many of them volunteers, say they are determined to defend it. Patrick Wells reports from Mariupol.
Video

Video Moscow Restaurants Suffer in Bad Economy, Look for Opportunity

As low oil prices and Western sanctions force Russia's economy into recession, thousands of Moscow restaurants are expected to close their doors. Restaurant owners face rents tied to foreign currency, while rising food prices mean Russians are spending less when they dine out. One entrepreneur in Moscow has started a dinner kit delivery service for those who want to cook at home to save money but not skimp on quality. VOA's Daniel Schearf reports.
Video

Video Presidential Hopefuls Battle for Conservative Hearts and Minds

One after another, presumptive Republican presidential contenders auditioned for conservative support this week at the Conservative Political Action Conference held outside Washington. The rhetoric was tough as a large field of potential candidates tried to woo conservative support with red-meat attacks on President Barack Obama and Democrats in Congress. VOA Political Columnist Jim Malone takes a look.
Video

Video Southern US Cities Preserve Civil Rights Heritage to Boost Tourism

There has been a surge of interest in the American civil rights movement of the 1950s and '60s, thanks in part to the Hollywood motion picture "Selma." Five decades later, communities in the South are embracing the dark chapters of their past with hopes of luring tourism dollars. VOA's Chris Simkins reports.
Video

Video Deep Under Antarctic Ice Sheet, Life!

With the end of summer in the Southern hemisphere, the Antarctic research season is over. Scientists from Northern Illinois University are back in their laboratory after a 3-month expedition on the Ross Ice Shelf, the world’s largest floating ice sheet. As VOA’s Rosanne Skirble reports, they hope to find clues to explain the dynamics of the rapidly melting ice and its impact on sea level rise.

All About America

Circumventing Censorship

An Internet Primer for Healthy Web Habits

As surveillance and censoring technologies advance, so, too, do new tools for your computer or mobile device that help protect your privacy and break through Internet censorship.
More