Home blood pressure measurement in the frail elderly: does it matter?

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The elderly is the fastest growing segment of the population in affluent (and also some other) societies. In the United States, for example, people of at least 65 years are projected to account for a quarter of the population (https://www.census.gov/population/projections/data/national/2014/summarytables.html), and a fifth of them are projected to be at least 85 years old, by 2060. Hypertension is common among the elderly and is a major contributor to morbidity and mortality also in this population. The residual lifetime hypertension risk of middle-aged people approached 90% [1]. Indeed at the ages of 85 and 90 years, in the population representative Jerusalem Longitudinal study, 91 and 88%, respectively, were hypertensive [2,3]. Therefore, as of now, and even more so in the future, dealing with hypertension in the elderly will involve many if not all health professionals.

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