We Hail Geriatric Education Modules

Hypertension in Older Adults - From SHEP to SPRINT

Activity Details
  • Credit Amounts:
    • CNE: 1.20
    • UNTHSC: 1.00
    • Physicians: 1.00
  • Cost: Free
  • Release: Aug 7, 2017
  • Expires: Aug 7, 2019
  • Estimated Time to Complete:
    1 Hour(s)
  • System Requirements:
  • Average User Rating:
    ( Ratings)


Mark A.  Supiano Mark A. Supiano, MD
Executive Director, University of Utah Center on Aging and Chief, Division of Geriatrics, School of Medicine, University of Utah, Salt Lake City Utah

Needs Statement

The Systolic Blood Pressure Intervention Trial (SPRINT; ClinicalTrials.gov, NCT01206062) was stopped early because of significantly lower risk of cardiovascular disease in participants randomized to a systolic blood pressure target of 120 mmHg (intensive) than in those randomized to 140 mmHg (standard). The cardiovascular outcome benefit was also identified in subjects aged 75 and older assigned to the intensive arm—34% lower than in the standard arm—in addition to 33% lower all-cause mortality at 3.14 years of follow-up. These beneficial outcomes held in older participants characterized as frail or with impaired gait speed. This presentation will address several questions that need to be considered in applying the SPRINT results to the clinical care of older adults:

  • Why are the SPRINT results discordant from those of epidemiological studies?
  • Do the SPRINT findings generalize to the frail, older adults that I care for?
  • Were there more adverse events in the intensive treatment group?
  • What about cognitive and kidney outcomes?
  • How low should we go?

Target Audience

This activity was planned to address the educational needs of physicians, physician assistants, nurse practitioners and nurses.


• Discuss the extraordinarily high prevalence of hypertension among older adults.
• Summarize the randomized controlled trials (SHEP, HYVET and SPRINT) that have informed our understanding of appropriate systolic blood pressure (SBP) targets for older adults.
• Describe the design and primary results of the Systolic Blood Pressure Intervention Trial (SPRINT).
• Discuss the generalizability and frailty status of the SPRINT cohort, especially the sub-group age 75 years and older. 
• Recognize that rates of uncontrolled hypertension remain unacceptably high, particularly in older women, and that getting more patients to their target BP goal is a pressing public health concern.



UNT Health Science Center is approved by the California Board of Registered Nursing, Provider # 16274. This activity is approved for 1.20 Contact Hours.

The University of North Texas Health Science Center certifies this activity for 1.00 hour of participation.


The University of North Texas Health Science Center is accredited by the American Osteopathic Association to award continuing medical education to physicians.

The University of North Texas Health Science Center has requested that the AOA Council on Continuing Medical Education approve this program for 1.00 hour of AOA Category 2B CME credits. Approval is currently pending.

The University of North Texas Health Science Center is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of North Texas Health Science Center designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The University of North Texas Health Science Center presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

ACGME Competencies

  • Patient care
  • Medical knowledge

IOM Competencies

  • Employ evidence-based practice
  • Utilize informatics

Faculty Disclosure

Dr. Mark Supiano has no significant affiliations with commercial interests to disclose.   The UNT Health Science Center Professional and Continuing Education staff have nothing to disclose.


In collaboration with UNTHSC Center for Geriatrics.