Highlights
- Clinician preference for intensive blood pressure (BP) targets (≤130 mmHg) in older adults is significantly modulated by patient-specific factors, particularly age, frailty status, and a history of falls.
- Digital health monitoring acts as a critical facilitator for treatment intensification, offering a potential solution to overcome clinical inertia in high-risk geriatric populations.
- Latent class analysis identifies two distinct clinician phenotypes: ‘Risk-Tolerant, Digitally Engaged’ (64%) and ‘Risk-Averse’ (36%), highlighting a significant heterogeneity in how evidence-based guidelines are applied in practice.
- While guidelines emphasize intensive control, the actual implementation remains a balance between perceived cardiovascular benefits and the fear of adverse events like syncope or fractures.
Background
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