Chart 6.2. – Treatment goals for older adults considering global condition and office blood pressure measurement.

	Office SBP		Office DBP
Global condition 1	Treatment threshold	Blood-pressure target 4 , 5	Treatment threshold	Target 8
Healthy 2	≥140 (I, A)	130-139 (I, A) 6	≥90	70-79
Frail older adults 3	≥160 (I, C)	140-149 (I, C) 7	≥90	70-79

  1: functional status is more important than chronological age; 2: including light frailty; 3: moderate to severe frailty; 4: including older adults with comorbidities: DM, CAD, CKD, stroke/TIA (not acute stage); 5: actively assess tolerability, including possible atypical symptoms; 6: stricter target (125-135 mm Hg) may be achieved in selected cases, especially for motivated older adults, < 80 years old, with optimum treatment tolerability; 7: higher limits in case of limited survival and absence of symptoms. BP reductions should be gradual; 8: DBP = avoid < 65-70 mm Hg in clinically manifested CAD patients.