GeriPal - A Geriatrics and Palliative Medicine Podcast · Alex Smith, Eric Widera

De-intensify Anti-Hypertensives for Nursing Home Residents? Athanase Benetos and Mike Steinman

March 19, 2026·52 min·4 clips
Why did nursing home patients on antihypertensives have three times more COVID deaths when not deprescribed?
This episode discusses a New England Journal study on deprescribing antihypertensives in nursing home patients, featuring researchers Atanas Benetos and Mike Steinman. They explore the study's findings of no mortality difference, a frailty-based trend in outcomes, and the challenges of deprescribing research compared to drug trials.

As heard by us

A practical look at how antihypertensive medicines can be stepped down, with room to restart them if needed.

This episode follows a randomized study of antihypertensive deprescribing, with attention to when those medications can be stepped down, how the stopping order was set, and how treatment could be brought back if needed.

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Why you'd press play

Thinking about whether to back off blood-pressure meds in an older adult?

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