![]() The primary outcome of stroke showed a non-significant reduction of 30% among the intensive treatment group (p=0.06). The mean starting BP was 173/91 mmHg and the mean decrease in SBP and diastolic blood pressure (DBP) was 29.5☑5 and 13☙.5 mmHg, respectively, after 2 years. 10 Patients with SBP >160 mmHg were randomized to placebo or indapamide with perindopril if needed to reach a target BP of 150/80. The 2017 guidelines were in part based on results from the Systolic Blood Pressure (SBP) Intervention Trial ( SPRINT), which showed that a more intensive treatment goal of 80 years. 3 By 2060, nearly a quarter of the US population will be over 65 years and 5% over 85 years. ![]() The average person over 70 years of age is expected to live an additional 15.5 years and for those over 85 years of age an additional 7 years. ![]() There is a high prevalence of hypertension among United States (US) adults and the 40-year risk of developing hypertension (defined as ≥140/≥90 mm Hg) in adults 45 years of age in the Multi-Ethnic Study of Atherosclerosis (MESA) cohort was nearly 100% for all ethnicities. 1 BP generally increases with age due to sub-optimal lifestyle habits. In 2017, the American Heart Association (AHA)/American College of Cardiology (ACC) hypertension guideline lowered the definition of hypertension to a blood pressure (BP) of ≥130/80 mmHg.
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