should not for all patients

a German research team a discovery made recently on all previous guidelines regarding high blood pressure the head provides. Yet physicians are assumed, that it’s healthier for people when their blood pressure below 140/90 mmHg. Showed a large recent study however that this increases the risk of death in older people.

researchers of the Charité Universitätsmedizin Berlin showed that the lump sum recommendation to keep blood pressure below 140/90 mmHg, is more harmful than beneficial. Over 1600 high blood pressure patients and patients aged over 70 years, the team demonstrated that elderly people increase the risk of death due to lowered blood pressure by up to 61 percent. The research results were recently in the “European heart journal” presented.

a recent study suggests that the flat-rate lowering of blood pressure in older people with hypertension is not so useful, as previously assumed. (Image: goodluz/fotolia.com)

must be a rethink in the treatment of high blood pressure?

according to the Charité Universitätsmedizin Berlin have elevated blood pressure, which can lead to life-threatening heart disease between 70 and 80 percent of the more than 70 years. Usually the treating professionals based on the recommendations of the professional associations, to minimize the risks of heart disease. These guidelines may be too flat, a Berlin research group warns.

blood pressure recommendations can not be generalized

for years, doctors assume that in any case it’s healthier if blood pressure below 140/90 mmHg is – held no matter at what age. The American ladies and gentlemen went even a step further and have lowered the limit at which one speaks of high blood pressure, to 130/80 mmHg. The team led by Professor Dr. Elke Schäffner showed that this assumption does not apply to all high blood pressure patients, now: in certain patient groups, the lowering of blood pressure lead even to a significantly increased risk of death.

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are incorrectly treated elderly hypertension patients?

the Berlin research group showed that a 40 percent higher risk of death was in the over 80-year old hypertension patients, when her blood pressure was below 140/90 mmHg (compared with the patients and patients, whose blood pressure was over 140/90 mmHg). This aspect of the group, which had already suffered a heart attack or stroke in the past was even more apparent. “Among those whose blood pressure mmHg was below 140/90, increased the risk of death by 61 percent compared to those whose blood pressure remained despite the treatment above this limit”, write the researchers.

Request a customization

researchers “Our results make it clear that the treatment of elevated blood pressure in these patient groups should be customized”, stresses in a study first author of Dr. Antonios Douros Press release on the study results. He advises to apply the recommendations of the professional associations flat rate for all patient groups.

the study

accompanied the team led by Professor Dr. Elke Schäffner over 1600 participants with high blood pressure, all over 70 years old. The patients were interviewed every two years to their State of health and the ingested drugs. In addition, blood pressure and renal function were measured and analyzed blood and urine. Also factors such as gender, body mass index, smoking status, alcohol consumption, diabetes and the number of the blood pressure lowering agents have been taken into account. After six years, the team evaluated the data collected and concludes as mentioned above. “Next, we want to investigate, which groups of patients actually benefit from a lowering of blood pressure”, the Professor explained. (vb)