The Medical Letter on Drugs and Therapeutics
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ISSUE
1535
In Brief: New Hypertension Guidelines
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 Select a term to see related articles  Hypertension 

New US guidelines for the treatment of hypertension have recently been published.1

Probably the most important change from previous guidelines2 is that use of blood pressure-lowering medication is now recommended for secondary prevention in patients with cardiovascular disease and an average systolic blood pressure (SBP) ≥130 mm Hg or diastolic blood pressure (DBP) ≥80 mm Hg, and for primary prevention in adults with an estimated 10-year atherosclerotic cardiovascular disease (ASCVD) risk3 of ≥10% and an average SBP ≥130 mm Hg or DBP ≥80 mm Hg.

For patients with no history of cardiovascular disease and an estimated 10-year ASCVD risk of <10%, blood pressure-lowering medication is recommended for those with an average SBP ≥140 mm Hg or an average DBP ≥90 mm Hg.

A blood pressure target of <130/80 mm Hg is recommended for patients with markers for increased risk and may be reasonable, according to the new guideline, even for those with no markers for increased risk.

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