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Blood Pressure and Hypertension Studies · Journal article
Korean Journal of Geriatrics & Gerontology · August 27, 2026
A consensus or society position rather than new primary data.
This is a clinical guideline synthesis reviewing management of hypertension in older adults, drawing on large-scale randomized trials (SPRINT, STEP, HyperVEL) and current international guidelines. Target blood pressure recommendations vary by guideline jurisdiction (Korean <140/90 mmHg; AHA and Japanese <130/80 mmHg; ESC 120-129/70-79 mmHg), and calcium channel blockers are strongly recommended as first-line agents, whereas beta-blockers are not recommended unless a compelling indication exists.
Journal article. Older adults with hypertension.
2026 Korean Society of Hypertension target blood pressure for older adults is <140/90 mmHg 2025 American Heart Association and 2025 Japanese Society of Hypertension guidelines recommend target <130/80 mmHg 2024 European Society of Cardiology guidelines suggest target range 120-129/70-79 mmHg
Calcium channel blockers are strongly recommended as pharmacological treatment in both 2026 Korean and 2025 Japanese guidelines
Clinicians should be aware that guideline-recommended target blood pressure levels for older adults vary by jurisdiction and guideline version. Calcium channel blockers are preferred first-line agents, and careful monitoring for orthostatic hypotension, falls, and electrolyte imbalances is essential.
A narrative review synthesizing international hypertension guidelines and evidence from landmark trials to inform clinical management of hypertension in older adults.
As stated by the source record.
Quoted from the source exactly as published.
Clinicians should be aware that guideline-recommended target blood pressure levels for older adults vary by jurisdiction and guideline version. Calcium channel blockers are preferred first-line agents, and careful monitoring for orthostatic hypotension, falls, and electrolyte imbalances is essential.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
Hypertension is a major risk factor for cardiovascular disease, and its prevalence increases with age.Aging is associated with distinct pathophysiological changes that lead to various clinical manifestations, one of the most characteristic being isolated systolic hypertension in older adults.Large-scale studies such as Systolic Blood Pressure Intervention Trial, Strategy of Blood Pressure Intervention in the Elderly Hypertensive Patients Trial, and Hypertension in the Very Elderly Trial have elucidated the benefits of blood pressure control in older adults.Reflecting these results, recent hypertension guidelines have lowered the target blood pressure levels for older adults; however, the target levels are not the same among guidelines.According to the 2026 Korean Society of Hypertension guidelines, the target blood pressure for older adults is <140/90 mmHg.In contrast, the 2025 American Heart Association and the 2025 Japanese Society of Hypertension guidelines recommend a target of <130/80 mmHg, and the 2024 European Society of Cardiology guidelines suggest a target range of 120-129/70-79 mmHg.Both the 2026 Korean and 2025 Japanese guidelines strongly recommend calcium channel blockers as pharmacological treatment.In older adults, beta-blockers are generally not recommended as first-line agents unless there is a compelling indication.When managing hypertension in older adults, careful monitoring for potential complications including orthostatic hypotension, falls, and electrolyte imbalances, is essential.
Taken from the source record, never inferred. Follow any of these and new work involving them reaches your briefing.