Letters Section Editor: Robert M. Golub, MD, Senior Editor.
To the Editor: Defining uncontrolled hypertension in the elderly in a clinically meaningful way is complex. First, there is no strong evidence to show the benefit of treating elderly persons with mild systolic hypertension.1 This is consistent with the results of the study on hypertension in adults by Dr Lloyd-Jones and colleagues2 in which the fully adjusted hazard ratios for all adverse events in patients with stage 1 hypertension crossed 1 in all elderly age groups. Second, treating the oldest old patients with hypertension reduces the risk of ischemic stroke, but increases mortality.3
Cheng HY. Hypertension in Adults Across Age Groups. JAMA. 2005;294(23):2970-2972. doi:10.1001/jama.294.23.2971-a