Isolated Systolic Hypertension in Young People Is Not Spurious and Should Be Treated

276 isolated systolic hypertension (isH) in young people, defined on the basis of brachial blood pressure (Bp) as a systolic Bp (sBp) of at least 140 mm Hg with a diastolic Bp (DBp) of <90 mm Hg, is not an unusual condition and is increasing in prevalence. to date, this concept has been confronted with challenges in the mechanisms, clinical relevance, and consequences. parameters other than brachial Bp, such as noninvasive central hemodynamics, have introduced new insights to the condition. nevertheless, grounded information supporting the long-term consequences is still lacking; therefore, the necessity to decide to treat or not to treat is a matter of concern in clinical practice. the current knowledge of isH in young people is presented with an emphasis on the elements that are relevant to deciding that treatment is not needed.