The blood pressure (BP) trajectory with advancing age in normotensive subjects has been well described, with increases in systolic blood pressure (SBP) and diastolic blood pressure (DBP) up to w50 years of age and minimal changes in pulse pressure. This is followed by further increases in SBP beyond 50 years of age, while DBP plateaus and subsequently declines after 60 years of age (1,2). This pattern results in rapid elevation of pulse pressure after 60 years of age from the attendant divergent pattern in SBP and DBP.