It is expected that around 2025, 20% of the country’s population will be in their “sunset years”. Hypertension is the most common disease among the elderly, how to manage it better? Recently, the Chinese Medical Association Geriatrics Branch and the Chinese Medical Association Hypertension Professional Committee jointly developed the “Expert Recommendations on the Characteristics and Clinical Diagnosis and Treatment Process of Hypertension in the Elderly” to this end. Diagnosis and characteristics The diagnosis is confirmed if the blood pressure is sustained or more than 3 times non-same day sitting systolic pressure ≥ 140 mmHg and/or diastolic pressure ≥ 90 mmHg in elderly people aged ≥ 65 years. If the measured systolic blood pressure is ≥140 mmHg and diastolic blood pressure is <90 mmhg <
span=””>, the diagnosis of simple systolic hypertension in the elderly is confirmed. Geriatric hypertension is mostly characterized by increased systolic blood pressure and increased pulse pressure; large fluctuations in blood pressure; abnormal circadian rhythm of blood pressure; increased white coat hypertension; and increased pseudohypertension. Treatment target values ① Patients aged ≥ 65 years, blood pressure should be reduced to below 150/90mmHg, if tolerated can be further reduced to below 140/90mmHg; ② Patients aged ≥ 80 years should not be below 130/60mmHg in general; ③ Hypertension combined with diabetes, coronary heart disease, heart failure and renal insufficiency patients to lower the blood pressure target should be <140/90mmHg. Emphasis Systolic blood pressure should be achieved, while avoiding excessive lowering of blood pressure; under the premise that the patient can tolerate antihypertensive treatment, gradually lower the blood pressure to achieve the target, and avoid too rapid lowering of blood pressure.