Is lower BP worth it in higher-risk patients with diabetes or coronary disease?
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Q: Is lower BP worth it in higher-risk patients with diabetes or coronary disease? Evidence-based answer: There is no simple answer; the risk/benefit picture is complicated. Controlling blood pressure to a target of 130/80 mm Hg or lower produces mixed results in patients with diabetes and coronary disease equivalents (chronic kidney disease [CKD], coronary artery disease, peripheral arterial disease, and previous stroke). ... No evidence-based studies exist to guide BP control in patients with peripheral artery disease or previous stroke. Current guidelines recommend treating hypertension to a target of 140/90 mm Hg in these patients.
Journal of Family Practice, 66(02) 2016: 129-131.