Does lowering diastolic BP to less than 90 mm Hg decrease cardiovascular risk?

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Does lowering diastolic BP to less than 90 mm Hg decrease cardiovascular risk?

Please use this identifier to cite or link to this item: http://hdl.handle.net/10355/3051

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Title: Does lowering diastolic BP to less than 90 mm Hg decrease cardiovascular risk?
Author: Fontaine, Patricia; Nashelsky, Joan
Keywords: systolic blood pressure (SBP)
hypertension
heart disease
Date: 2004-02
Publisher: Family Physicians Inquiries Network
Abstract: Although lowering diastolic blood pressure (DBP) is associated with reduced cardiovascular events, systolic blood pressure (SBP) is a more robust predictor of cardiovascular risk than DBP and should now be used to diagnose, stage, and treat hypertension. Lowering diastolic blood pressure (DBP) to <90 mm Hg in hypertensive individuals of all ages decreases the risk of cardiovascular events including myocardial infarction (MI), heart failure, and sudden death (strength of recommendation [SOR]: A, based on systematic review of randomized controlled trials). However, there is no consensus regarding how far to lower DBP. A “J-shaped” increase in cardiovascular risks with DBP <85 mm Hg may apply under certain conditions.
URI: http://hdl.handle.net/10355/3051

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