According to current guidelines from the AAFP and ACP, for patients aged ≥ 60 years with high cardiovascular risk or a history of stroke or transient ischemic attack, the target systolic BP for treatment is < 140 mm Hg. These patients may be at risk due to diabetes, known cardiovascular disease, or chronic kidney disease with a glomerular filtration rate < 45 mL/min/1.73 m2, and should achieve a target systolic BP < 140 mm Hg to reduce the risk for cardiac events and stroke. Note, however, that this target is higher than that of the AHA/ACC guidelines, which still target a systolic BP < 120 mm Hg as the goal in these high-risk patients.
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Cite this: Yasmine S. Ali. Fast Five Quiz: Hypertension Key Clinical Aspects - Medscape - Jun 17, 2022.