What is the goal of antihypertensive treatment for hypertension in the elderly?

  Geriatric hypertension, defined as age ≥ 65 years, with blood pressure ≥ 140 mmHg systolic and/or 90 mmHg diastolic on 3 non-same day measurements without antihypertensive medication. Increased systolic blood pressure and increased pulse pressure are common in elderly patients with hypertension.  Self-measurement of blood pressure at home is important for the management of blood pressure. Advise elderly hypertensive patients who are capable of self-care and emotionally stable to master the basic measurement of blood pressure, and recommend the use of cuff-type electronic blood pressure monitor.  The target of antihypertensive treatment: the recommended blood pressure control target for elderly people aged ≥65 years is <150/90 mmHg; for elderly patients aged <80 years and in good general condition who can tolerate blood pressure lowering, it can be lowered to <130/80 mmHg; for patients aged ≥80 years who can tolerate blood pressure lowering treatment, it can be lowered to <140/90 mmHg, and generally should not be lower than <130/60 mmHg. Elderly patients Antihypertensive therapy should emphasize systolic blood pressure attainment, gradually lowering blood pressure attainment and avoiding too fast and excessive lowering of blood pressure. For elderly hypertensive patients with ischemic heart disease, while emphasizing systolic blood pressure target, diastolic blood pressure should be paid attention to, and diastolic blood pressure below 60mmHg should be monitored closely to gradually reach the systolic blood pressure target.  Remember to lower blood pressure: doctor's guidance; start with small doses to lower blood pressure smoothly; choose drugs carefully and use long-acting agents as much as possible; combine multiple drugs to achieve the target gradually, but do not recommend the initial combination therapy for patients with frailty and ≥80 years old; individualize treatment according to individual; monitor standing blood pressure to avoid hypotension; pay attention to home self-measurement blood pressure and 24h blood pressure monitoring.