"In the treatment of hypertension in older people, it is important to prevent adverse events and it's appropriate to think of adverse effects of the drugs themselves. But when it comes to falls in people who are on chronic use of antihypertensive medication, we need not worry much about precipitating falls, and with ACE inhibitors and calcium-channel blockers, we may actually reduce that risk." "The general thinking is that hypertension should be treated, but the most recent guidelines suggest clinicians should be less aggressive and treat to 150/90 mm Hg and below; treating to 120/80 mm Hg is not considered safe, because with lower blood pressure there is lower blood flow to the brain, he continued.
However, "we looked at that and found that calcium-channel blockers actually improved [cerebral blood flow]," False Fear of Precipitating Falls? Conflicting data on the relationship between…
