On the basis of randomized clinical trial data including the Hypertension in the Very Elderly (HYVET) trial (1) and the Systolic Hypertension in the Elderly (SHEP) trial (2-4), the American College of Cardiology Foundation/ American Heart Association 2011 hypertension guidelines (5), the European Society of Hypertension/European Society of Cardiology 2013 hypertension guidelines (6), the 2014 American Society of Hypertension/International Society of Hypertension guidelines (7), and the American Heart Association/American College of Cardiology Foundation/American Society of Hypertension 2015 guidelines on treatment of hypertension in adults with coronary artery disease (8) recommended that the blood pressure be lowered to less than 140/90 mmHg in adults younger than 80 years and to less than 150/90 mmHg in adults aged 80 years and older. Data from 9,787 adults in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study also supported these recommendations (9).
