title: What should the blood pressure goal be in patients with hypertension who are at high risk for cardiovascular disease?
abstract: Epidemiologic and clinical trial data suggest that blood pressure in patients with hypertension who are at high risk for cardiovascular events because of coronary artery disease, diabetes, chronic kidney disease, stroke, or heart failure should be reduced to < 140/90 mm Hg in patients aged < 80 years, and that systolic blood pressure should be reduced to 140 to 145 mm Hg, if tolerated, in patients aged ≥ 80 years. Studies on patients with coronary artery disease, diabetes, chronic kidney disease, stroke, and heart failure are discussed, supporting a blood pressure goal of < 140/90 mm Hg in patients aged < 80 years who are at high risk for cardiovascular events.
authors.affiliation: Department of Medicine, New York Medical College, Valhalla, NY, USA. wsaronow@aol.com
authors.forename: Wilbert S
authors.initials: WS
authors.lastname: Aronow
mesh_terms: D001794:Blood Pressure; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D015897:Comorbidity; D003327:Coronary Disease / Q000517:prevention & control; D003920:Diabetes Mellitus / Q000453:epidemiology; D006333:Heart Failure / Q000517:prevention & control; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000453:epidemiology; D007676:Kidney Failure, Chronic / Q000453:epidemiology; D017410:Practice Guidelines as Topic; D012016:Reference Values; D020521:Stroke / Q000517:prevention & control