Summarised by Centrist
A study published in JAMA Network Open suggests that reducing or discontinuing blood pressure (BP) medications in nursing home residents may not raise the risk of heart attacks or strokes.
Researchers analysed data from over 13,000 long-term care residents aged 65 and older in US Department of Veterans Affairs facilities. Nearly 18% had their BP medications reduced by 30% or more. After two years, there was no significant difference in heart-related hospitalisations compared to those who continued their full prescriptions.
The findings challenge conventional wisdom about hypertension treatment in older adults. Michelle Odden, a Stanford epidemiologist, noted, “High blood pressure may not be as risky in older people with frailty or other conditions requiring nursing home care.”
Notably, the study contradicts earlier reviews, such as one by Cochrane, which suggested stopping BP medications could increase heart attack and stroke risks by up to 86% and 44%, respectively. Researchers criticised the Cochrane review’s reliance on outdated, low-quality studies with short follow-up periods.
According to the researchers, decisions on stopping BP medication should consider life expectancy, pre existing conditions, and individual health profiles. As Dr Sequeira-Lopez noted, “Identifying the cause of hypertension and personalising treatments will be key to avoiding unwanted side effects.”
