Blood Pressure Management In Frail Older People a The Real World Experience

According to recent evidence, blood pressure (BP) management benefits the same patients with mild frailty and fit subjects. In contrast, there is no evidence that antihypertensive treatment benefits patients with severe frailty, yet much evidence that such treatment is not safe. Notably, comorbidities can impact on benefits and harms of BP treatment. For enabling patient management based on individualized expected outcomes, there is a need to substantially increase observational data, focused on complex clinical situations and various comorbidities. In line with this aim, we present our experience from the perspective of long-term geriatric care. It is hoped that observations from the bedside, enhanced and expanded in the future, might contribute to the shift from empirical practice towards an evidence-balanced approach.