Blood Pressure Management: A Lifespan Approach in Cardiology

Personalized strategies by age are reshaping blood pressure management, while clinicians still navigate distinct challenges for children and older adults under evolving AAP and ACC/AHA guidance.

The mechanism of early hypertension monitoring not only identifies risks but, by confirming elevated readings with repeat or ambulatory measurements and addressing modifiable risks early, sets groundwork for future prevention, establishing a crucial link between pediatrics and long-term health. Early blood pressure monitoring in children is crucial as elevated childhood blood pressure is associated with higher adult cardiovascular risk, suggesting that earlier identification enables risk stratification and timely intervention.

Emerging studies point to a shift toward age-tailored detection and monitoring. Integrating AI may support more personalized care and operational efficiency.

Evidence from pediatric BP tracking and AI-assisted home monitoring is prompting clinics to adapt workflows for different ages. Early identification and management (e.g., lifestyle counseling, confirmatory measurements, and selective pharmacotherapy) in pediatric elevated blood pressure can help set a healthier trajectory, while AI technologies in geriatric care can enhance patient self-management capabilities.

Patients, both young and old, may experience improvements in care when interventions are personalized, reflecting ongoing shifts in treatment strategies. Technological integration can aid in refining processes and outcomes, yet access, digital literacy, and validation gaps—especially in pediatrics—remain barriers that require attention.