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Published on: September 26, 2018
[Management of hypertension for prevention from cardiovascular events]
1EBM Research Center, Kyoto University Graduate School of Medicine.
Insights
Hypertension management is crucial for preventing cardiovascular events. Treatment targets vary by age and comorbidities like diabetes or CKD, aiming to reduce mortality.
Area of Science:
- Cardiology
- Nephrology
- Endocrinology
Context:
- Hypertension is a primary risk factor for cardiovascular events.
- Effective management is essential to prevent associated morbidity and mortality.
Purpose:
- To outline treatment objectives for hypertension.
- To define target blood pressure goals based on patient demographics and comorbidities.
Summary:
- Treatment is indicated for blood pressure >= 140/90 mmHg, or >= 130/80 mmHg with diabetes, CKD, or myocardial infarction.
- Target blood pressure is < 130/85 mmHg for younger adults, < 130/80 mmHg for those with diabetes, CKD, or myocardial infarction, and < 140/90 mmHg for the elderly or those with cerebrovascular disease.
- Adequate antihypertensive agents are necessary for strict blood pressure control.
Impact:
- Reduced cardiovascular morbidity and mortality.
- Improved patient outcomes through tailored blood pressure management.
- Guidance for healthcare professionals in treating hypertensive patients.
Abstract:
Hypertension is the one of the strongest predictors of cardiovascular events. The objectives of treatment are to control hypertension and prevent the occurrence of cardiovascular diseases due to sustained high blood pressure, thereby reducing morbidity and mortality. Treatment is necessary for all patients with hypertension (blood pressure > or =140/ 90 mmHg) and for those with a blood pressure of 130/80 mmHg if they have diabetes, chronic kidney disease (CKD) or myocardial infarction. The recommended target for blood pressure control is < 130/85 mmHg in young and middle-aged people. It should be < 130/80 mmHg in those with diabetes mellitus, CKD or myocardial infarction and < 140/ 90 mmHg in elderly people and patients with cerebrovascular diseases. Moreover, these hypertensive patients should be strictly controlled their blood pressure by adequate antihypertensive agents.
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