Mild Stage 1 Hypertension in Older Adults May Be Managed With Lifestyle First

A new analysis of recent hypertension guidelines suggests some older adults (mostly women in their mid-to-late 60s) with Stage 1 hypertension (130–139/80–89) who have low cardiovascular risk can safely delay medications and focus on lifestyle changes and ongoing monitoring. About 11% of Stage 1 patients could avoid meds if their PREVENT risk score is low; medications are reserved for those with clearer expected benefits. Those with 120–129/80–89 should prioritize weight loss, exercise, a fruits/vegetables–rich diet, sodium reduction, and limited alcohol to reduce future need for drugs.