Letters Hypertension in comorbidity

Older people need an individualised approach to treating hypertension

BMJ 2016; 353 doi: https://doi.org/10.1136/bmj.i2244 (Published 26 April 2016) Cite this as: BMJ 2016;353:i2244
  1. Sean G Ninan, clinical leadership fellow and geriatric medicine registrar
  1. St James’s University Hospital, Leeds LS9 7TF, UK
  1. sean.ninan{at}nhs.net

It is disappointing that an article on treating hypertension in patients with comorbidities does not mention frailty.1 While the authors point out that optimum blood pressure targets for older people are unclear, they quote National Institute for Health and Care Excellence guidance recommending a target blood pressure below 150/90 mm Hg as if a “one size fits all” approach is appropriate. Older people need an individualised approach. Although many …

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