How intensive blood pressure treatment could prevent strokes in older adults

Credit: Unsplash+

High blood pressure, or hypertension, is a serious condition that can quietly lead to heart attacks, strokes, and other health problems. Many people with high blood pressure don’t feel sick, making it easy to overlook until more serious complications develop.

It’s especially common among older adults, who often rely on medications to manage their blood pressure. While these treatments are effective, there is always potential to improve outcomes, and each new study offers insights that could benefit millions of people.

Recently, a team of researchers set out to understand whether a more intense blood pressure treatment approach might prevent strokes in older adults.

Strokes are a major health risk associated with high blood pressure, so reducing their occurrence is a crucial goal in hypertension management.

To investigate, the researchers reviewed data from nine different studies, known as randomized clinical trials. In total, these studies involved 38,779 people, all of whom were 66 to 84 years old at the beginning of their participation.

Each study tracked its participants over an extended period—between 2 to 5.8 years—allowing researchers to observe the effects of intensive blood pressure management over time.

What the researchers found was encouraging: more intensive blood pressure treatment could indeed lower the risk of strokes among older adults.

According to their analysis, for every 200 older adults receiving intensive treatment, one stroke could be prevented within about 1.7 years. However, the effectiveness of the treatment varied depending on the initial blood pressure levels.

For instance, those whose systolic blood pressure (the first number in a blood pressure reading) started below 150 mmHg saw results, but it took longer than 1.7 years for the treatment to prevent a stroke.

In contrast, those whose initial systolic blood pressure was over 190 mmHg saw quicker results, with a stroke potentially being prevented in less than 1.7 years. This suggests that starting with a higher blood pressure level might make the treatment work faster.

These findings provide valuable insights that could help guide treatment decisions, especially since medical guidelines, such as those from the American College of Cardiology and the American Heart Association, encourage doctors to discuss both the risks and benefits of hypertension treatment with older adults.

One important consideration for many older adults is understanding how quickly they might experience the benefits of a new treatment. If it takes a long time to show results, some may prefer not to take additional medications, especially if they are in their later years.

The lead researcher, Vanessa S. Ho, MS, from California Northstate University College of Medicine, pointed out that knowing how long it takes for a treatment to be effective is especially important for older adults who may not want to start a treatment that could take years to show benefits.

For older adults with high blood pressure, this study highlights the possibility that a more intensive treatment could lower their stroke risk within two years. This is a significant finding, as it offers a timeline for those considering treatment options.

By understanding these timeframes, patients and doctors can make more informed choices based on individual health needs and life circumstances.

If you or a loved one has high blood pressure, studies suggest there are ways beyond medication to help manage it. Research has shown that certain foods, simple exercises, and lifestyle changes may also lower blood pressure.

These approaches can work alongside medical treatment to provide the best possible outcome for heart health.

Additionally, newer studies are exploring how certain foods, common medications, and lifestyle adjustments might impact not only blood pressure but overall heart health and longevity.

For more details on intensive blood pressure treatments and heart health, the full study can be found in the Journal of the American Geriatrics Society.

This research helps fill knowledge gaps about high blood pressure treatments, offering valuable information for older adults considering their health options.

If you care about stroke, please read studies about how to eat to prevent stroke, and diets high in flavonoids could help reduce stroke risk.

For more information about health, please see recent studies about how Mediterranean diet could protect your brain health, and wild blueberries can benefit your heart and brain.

Copyright © 2024 Knowridge Science Report. All rights reserved.