with hypertension.ĪCP and AAFP recommend that physicians initiate treatment in adults aged 60 years old and older with persistent systolic blood pressure at or above 150 millimeters of mercury (mm Hg) to achieve a target systolic blood pressure of less than 150 mm Hg to reduce the risk of mortality, stroke, and cardiac events. Their combined 272,900 members, including internal medicine physicians (internists) and family physicians, treat the majority of patients in the U.S. over the age of 60 have hypertension, and the disease affects about 29 percent of all adults in the nation.ĪCP and AAFP are two of the largest physician organizations in the U.S. Hypertension, an elevation of systemic arterial blood pressure, is one of the most common chronic diseases in the United States. The joint guideline is published in today’s issue of Annals of Internal Medicine and a summary of the guideline will be published in the March/April 2017 issue of the Annals of Family Medicine. Philadelphia, Janu- The American College of Physicians (ACP) and the American Academy of Family Physicians (AAFP) have published an evidence-based clinical practice guideline on the appropriate systolic blood pressure target for adults 60 years old and older with hypertension. Guideline compares evidence for benefits and harms of higher vs.
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