Specific Population

Question 1

Managing hypertension in pregnancy :

Answer 1

In women with chronic and gestational hypertension, it is recommended to lower BP below 140/90 mmHg but not below 80 mmHg for diastolic BP.
Systolic BP ≥160 mmHg or diastolic BP ≥110 mmHg in pregnancy can indicate an emergency, and immediate hospitalization should be considered.
HBPM and ABPM should be considered to exclude white-coat and masked hypertension, which are more common in pregnancy

Question 2

first-line BP-lowering medications for treating hypertension in pregnancy.

Answer 2

Dihydropyridine CCBs (preferably extended-release nifedipine), labetalol, and methyldopa are recommended

Question 3

In elderly, BP-lowering treatment should only be considered from ≥140/90 mmHg among persons meeting the following criteria:

Answer 3

pre-treatment symptomatic orthostatic hypotension,
age ≥85 years, clinically significant moderate-to-severe frailty,
and/or limited predicted lifespan

Question 4

In elderly, BP-lowering treatment should only be considered from ≥140/90 mmHg among persons meeting the following criteria:

Answer 4

pre-treatment symptomatic orthostatic hypotension,
age ≥85 years, clinically significant moderate-to-severe frailty,
and/or limited predicted lifespan

Question 5

Preferred treatment for elderly ?

Answer 5

long-acting dihydropyridine CCBs or RAS inhibitors should be considered, followed if necessary by low-dose diuretic if tolerated, but preferably not a beta-blocker (unless compelling indications exist) or an alpha-blocke