TY - JOUR
T1 - Longitudinal Trends in Hypertension Management and Mortality Among Octogenarians
T2 - Prospective Cohort Study
AU - Dregan, Alex
AU - Ravindrarajah, Rathi
AU - Hazra, Nisha
AU - Hamada, Shota
AU - Jackson, Stephen H.D.
AU - Gulliford, Martin C.
PY - 2016/7
Y1 - 2016/7
N2 - The role of hypertension management among octogenarians is controversial. In this long-term follow-up (>10 years) study, we estimated trends in hypertension prevalence, awareness, treatment, and control among octogenarians, and evaluated the relationship of systolic blood pressure (SBP) ranges with mortality. Data were based on the English Longitudinal Study of Ageing (ELSA). Outcome measures were hypertension prevalence, awareness, treatment and control, and cardiovascular disease, and all-cause mortality events. Participants were separated into 8 categories of SBP values (169 mm Hg). Among 2692 octogenarians, mean SBP levels declined from 147 mm Hg in 1998/2000 to 134 mm Hg in 2012/2013. The decline was of lower magnitude in the 50 to 79 years old subgroup (n=22007). Hypertension prevalence and awareness were 40% and 13%, respectively, higher among octogenarians than the 50 to 79 years of age subgroup, but hypertension treatment rates were similar (≈90%). Around 47% of the treated octogenarians achieved conventional BP targets (
AB - The role of hypertension management among octogenarians is controversial. In this long-term follow-up (>10 years) study, we estimated trends in hypertension prevalence, awareness, treatment, and control among octogenarians, and evaluated the relationship of systolic blood pressure (SBP) ranges with mortality. Data were based on the English Longitudinal Study of Ageing (ELSA). Outcome measures were hypertension prevalence, awareness, treatment and control, and cardiovascular disease, and all-cause mortality events. Participants were separated into 8 categories of SBP values (169 mm Hg). Among 2692 octogenarians, mean SBP levels declined from 147 mm Hg in 1998/2000 to 134 mm Hg in 2012/2013. The decline was of lower magnitude in the 50 to 79 years old subgroup (n=22007). Hypertension prevalence and awareness were 40% and 13%, respectively, higher among octogenarians than the 50 to 79 years of age subgroup, but hypertension treatment rates were similar (≈90%). Around 47% of the treated octogenarians achieved conventional BP targets (
KW - aging
KW - blood pressure
KW - hypertension
KW - mortality
KW - prevalence
UR - http://www.scopus.com/inward/record.url?scp=84966293836&partnerID=8YFLogxK
U2 - 10.1161/HYPERTENSIONAHA.116.07246
DO - 10.1161/HYPERTENSIONAHA.116.07246
M3 - Article
AN - SCOPUS:84966293836
SN - 0194-911X
VL - 68
SP - 97
EP - 105
JO - Hypertension
JF - Hypertension
IS - 1
ER -
