Intensive blood pressure control in the elderly - Bruce Arroll

Date Published: 
Tuesday, June 13, 2017

Professor Bruce Arroll discusses the issues around intensive blood pressure control in the elderly. Bruce is a GP in south Auckland and professor of general practice at the University of Auckland.



  • Standard vs intensive blood pressure control in elderly - is there evidence?
  • SPRINT study participants and general conclusions
  • Practical outcomes for GPs from this study 

Take home messages

  • SPRINT study indicates that intensive blood pressure management greatly reduces cardiovascular complications and deaths in older adults.
  • General tips for prescribing hypertensives for frail patients:
    • Start low and go slow. 
    • Measure BP when people are standing up.
  • Consider performing extra testing for electrolyte issues esp with Chlorthalidone, which is an effective diuretic but alters sodiums and potassiums.
  • Encourage lifestyle based approaches not just medication; exercise, sodium restriction, low alcohol use,  quitting smoking.

Clinician Resources



Dr Bruce Arroll
Prof. General Practice

To contact Bruce Click here.




This podcast episode is supported by Pharmac

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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.