Blood pressure targets

Blood Pressure Targets in the Hypertensive Elderly

OBJECTIVE Hypertension is an important risk factor of cardiovascular disease and increases mortality in the elderly. However, the available medical evidences are both inconsistent and insufficient regarding establishing credible and useful blood pressure (BP) targets in the hypertensive elderly. This review summarizes the existing evidences used for establishing optimal BP targets for this pati...

Blood pressure targets and absolute cardiovascular risk.

In the Eighth Joint National Committee guideline on hypertension, the threshold for the initiation of blood pressure-lowering treatment for elderly adults (≥60 years) without chronic kidney disease or diabetes mellitus was raised from 140/90 mm Hg to 150/90 mm Hg. However, the committee was not unanimous in this decision, particularly because a large proportion of adults ≥60 years may be at hig...

Blood pressure lowering in the oldest old: a step toward abandoning arbitrary blood pressure targets.

We read with interest the paper of Parthasarathy et al. [1], investigating the blood pressure (BP) response to two different diuretics [a mineralocorticoid receptor antagonist (MRA) and a thiazide diuretic] in patients subdivided, according to aldosterone-to-renin ratio (ARR) value, in high and low ARR group, respectively. Given the high incidence of primary aldosteronism and the widely recogni...

The Implications of Blood Pressure Measurement Methods on Treatment Targets for Blood Pressure

Specific Blood Pressure Targets for Patients With Diabetic Nephropathy?

Diabetic nephropathy represents a condition frequently detected in current clinical practice characterized by a very high cardiovascular risk profile. Blood pressure reduction via antihypertension drug treatment represents a therapeutic approach capable of exerting favorable effects on renal and cardiovascular outcomes. The purpose of this article is to review the current literature and results...