Optimal Blood Pressure Goals in Patients at HighRisk for Cardiovascular EventsRunning Head: Optimal Blood Pressure Goals

摘要

The 2013 European Society of Hypertension guidelines recommended that lowering the blood pressure to < 130/80 mm Hg in patients at high risk for cardiovascular events was unsupported by prospective trial data, and that the systolic blood pressure (SBP) should be lowered to <140 mm Hg in these patients and the SBP reduced to between 140 to 150 mm Hg in patients aged >= 80 years with an initial SBP >=160 mm Hg provided they are in good physical and mental condition The American College of Cardiology Foundation/American Heart Association 2011 expert consensus document on hypertension in the elderly recommended that the BP should be lowered to < 140/90 mm Hg in adults younger than 80 years at high risk for cardiovascular events. On the basis of data from the Hypertension in the Very Elderly trial, these guidelines recommended that the SBP should be reduced to 140 to 145 mm Hg if tolerated in adults aged 80 years and older.