Related Experiment Video
Updated: Dec 10, 2025

Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension
Published on: June 6, 2025
Hypertension (Blood Pressure) and Lifetime Risk of Target Organ Damage
Daniel W Jones1, Donald C Clark2
1Department of Medicine, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, 39216, USA. djones@umc.edu.
Insights
Blood pressure, even below hypertension levels, poses long-term cardiovascular risks. Early intervention, potentially including medication for stage 1 hypertension, is crucial for preventing target organ damage.
Area of Science:
- Cardiology
- Public Health
Background:
- Contemporary definitions of hypertension may underestimate cardiovascular disease risk.
- Blood pressure's impact on target organ damage begins at lower levels.
Purpose of the Study:
- To review the long-term relationship between blood pressure and target organ damage.
- To emphasize that cardiovascular risk exists below current hypertension thresholds.
Main Methods:
- Review of existing literature and clinical guidelines.
- Analysis of data from major cardiovascular studies, including the CARDIA study.
- Consideration of the 2017 ACC/AHA Blood Pressure Management Guidelines.
Main Results:
- Cardiovascular disease risk is evident even with blood pressure levels below the defined hypertension stage 1 threshold (130/80 mmHg).
- The CARDIA study showed significant cardiovascular risk over 20 years for individuals with stage 1 hypertension.
- Recent guidelines redefined hypertension and treatment goals, emphasizing lifestyle therapy but potentially underestimating medication needs.
Conclusions:
- Clinicians should consider medication for stage 1 hypertension if lifestyle modifications are insufficient.
- A comprehensive understanding of blood pressure's lifelong impact is essential for preventing target organ damage.
- Risk assessment for cardiovascular disease should account for blood pressure levels below traditional hypertension definitions.
Purpose Of Review:
The purpose of this review is to describe the long-term or lifetime relationship between blood pressure and target organ damage. The use of the term "blood pressure" as opposed to hypertension is purposeful. The risk of cardiovascular disease from blood pressure begins below the levels of blood pressure defined as hypertension by contemporary definitions.
Recent Findings:
An important recent publication that bears on this topic was the 2017 ACC/AHA Blood Pressure Management Guidelines. The redefinition of hypertension and blood pressure treatment goal to 130/80 mmHg and the decision to rely almost exclusively on data from event-based randomized controlled clinical trials, which led to a recommendation for lifestyle therapy only for most with stage 1 hypertension, were important. A report from the CARDIA study demonstrated significant risk for cardiovascular disease at 20 years for stage 1 hypertension. Based on all evidence, clinicians should consider the use of medication for stage 1 hypertension in those uncontrolled on lifestyle therapy.
More Related Videos
Related Concept Videos
Hypertension III: Clinical Manifestations and Diagnostic Studies
Hypertension I: Introduction
Hypertension and Regulation of Blood Pressure
Chronic Kidney Disease I: Introduction
Hypertension II: Pathophysiology
Hypertension V: Nursing Management

