Evidence map›Paper›PMID 31143381›Full record

ReviewHeart views : the official journal of the Gulf Heart Association

Hypertension Management in the Elderly: What is the Optimal Target Blood Pressure?

Ahmad Alsarah, Osama Alsara, Ghassan Bachauwa

Open access · diamondAbstract readReview
In one paragraph

Review in Heart views : the official journal of the Gulf Heart Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. A 'COMMON SENSE' approach to geriatric patients in clinical practice.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Article
  3. Review
  4. Article
  5. Predictors of 5-year Survival of Elderly with Hypertension. A Prospective Cohort Study.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2024
    Article
  6. Numbers and Mortality Risk of Hypertensive Patients with or without Elevated Body Mass Index in China.International journal of environmental research and public health · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Ahmad AlsarahDepartment of Geriatric Medicine and Internal Medicine, Hurley Medical Center, Michigan State University, Flint, MI, USA.
Osama AlsaraDepartment of Cardiovascular Diseases, University of Florida, Gainesville, FL, USA.
Ghassan BachauwaDepartment of Geriatric Medicine and Internal Medicine, Hurley Medical Center, Michigan State University, Flint, MI, USA.
Hurley Medical Center · USUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypertension is a common disease in the elderly associated with significant morbidity and mortality. Due to the complexity of this population, the optimal target of blood pressure (BP) control is still controversial. In this article, we conduct a literature review of trials published in English in the last 10 years which were specifically designed to study the efficacy and safety of various BP targets in patients who are 70 years or older. Using these criteria, we found that the benefits in the positive studies were demonstrated even with a minimal BP control (systolic BP [SBP] <150 mmHg) and continued to be reported for a SBP <120 mmHg. On the other hand, keeping SBP <140 mmHg seemed to be safely achieved in elderly patients. Although the safety of lowering SBP to <120 mmHg is debated, Systolic Blood Pressure Intervention Trial study has shown no increased risk of falls, fractures, or kidney failure in elderly patients with SBP lower than this threshold. While the recent guidelines recommended to keep BP <130/80 mmHg in the elderly, more individualized approach should be considered to achieve this goal in order to avoid undesirable complications. Furthermore, further studies are required to evaluate BP target in very old patients or those with multiple comorbidities.

Indexed as

Blood pressurecardiovascularelderlygeriatricshypertensionstroke

Identifiers

PMID31143381
PMCPMC6524422
OpenAlexW2944271381

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.