The lower the achieved blood pressure goal the better

Carolina Valdiviezo, Lisa W. Martin, Gurusher S. Panjrath

Research output: Contribution to journalReview article

Abstract

Purpose of review Hypertension is the eminent risk factor for renal and cardiovascular disease (CVD). Its management is a topic of public health priority. As either too high or too low blood pressure (BP) levels can have detrimental effects on health, optimal targets for BP continue to be controversial. The current manuscript will review relevant data published over the last year that add to this topic of controversy. Recent findings Recent studies confirm increased CVD-related risk with increasing SBP levels more than 140mmHg among patients with hypertension and CVD as well as those over the age of 60 years. A SBP target less than 140mmHg conveyed lessened risk of CVD-related events. There is some evidence suggesting that the ideal BP target lies between 120 and 140 mmHg. Summary Recent data support a target SBP of less than 140mmHg among patients with hypertension or CVD, and achievement of this target might benefit those older than 60 years of age as well. Treating to SBPs below 120mmHg may not result in further benefit. Data from randomized controlled trials specifically addressing the question whether lower BPs are associated with better outcomes are needed to further define ideal BPtarget goals.

Original languageEnglish (US)
Pages (from-to)378-382
Number of pages5
JournalCurrent opinion in cardiology
Volume30
Issue number4
DOIs
StatePublished - Aug 24 2015

Keywords

  • Blood pressure targets
  • Cardiovascular disease
  • Coronary heart disease
  • Hypertension
  • Stroke

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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